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NPI Code Detail

MEDICARE: MRS. AMY LYNN ALFORD M.ED., BCBA

MEDICARE:  MRS. AMY LYNN ALFORD  M.ED., BCBA
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 : 1568728673
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. AMY LYNN ALFORD M.ED., BCBA
Provider Business Mailing Address
First Line : 712 RIDGE DR
Second Line :
City : DOUGLASSVILLE
State : PA
Zip : 19518-1246
Country : US
Telephone Number : 610-209-0603
Fax Number :
Provider Business Practice Location Address
First Line : 712 RIDGE DR
Second Line :
City : DOUGLASSVILLE
State : PA
Zip : 19518-1246
Country : US
Telephone Number : 610-209-0603
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/03/2012
Last Update Date : 04/03/2012

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Directions to “ MRS. AMY LYNN ALFORD M.ED., BCBA” Practice Location

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