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NPI Code Detail

MEDICARE: GENESIS ALIANA QUINTANA

MEDICARE: GENESIS ALIANA QUINTANA
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 : 1598228611
Entity Type Code : Individual
Provider Name (Legal Business Name) : GENESIS ALIANA QUINTANA
Provider Business Mailing Address
First Line : 200 N DYSART RD
Second Line :
City : AVONDALE
State : AZ
Zip : 85323-2418
Country : US
Telephone Number : 866-727-8274
Fax Number :
Provider Business Practice Location Address
First Line : 200 N DYSART RD
Second Line :
City : AVONDALE
State : AZ
Zip : 85323-2418
Country : US
Telephone Number : 866-727-8274
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2019
Last Update Date : 01/06/2026

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Directions to “ GENESIS ALIANA QUINTANA ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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