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NPI Code Detail

MEDICARE: ALLYSON FURNAS

MEDICARE:   ALLYSON  FURNAS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1558964726
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALLYSON FURNAS
Provider Business Mailing Address
First Line : 1824 TOUBY PIKE STE B
Second Line :
City : KOKOMO
State : IN
Zip : 46901-2573
Country : US
Telephone Number : 574-387-4313
Fax Number :
Provider Business Practice Location Address
First Line : 1535 PROVIDENT DR
Second Line :
City : WARSAW
State : IN
Zip : 46580-3294
Country : US
Telephone Number : 574-387-4313
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/19/2020
Last Update Date : 11/19/2020

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Directions to “ ALLYSON FURNAS ” Practice Location

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