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NPI Code Detail

MEDICARE: MRS. ALYSSA WARD BCBA

MEDICARE: MRS. ALYSSA WARD 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 Analyst0-13-5565CA
2103K00000XBehavior Analyst1-19-40094CA

General Provider Information

NPI Number : 1639589476
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ALYSSA WARD BCBA
Provider Business Mailing Address
First Line : 127 GLEN ELLEN DR
Second Line :
City : VENTURA
State : CA
Zip : 93003-3113
Country : US
Telephone Number : 805-501-8976
Fax Number :
Provider Business Practice Location Address
First Line : 400 W VENTURA BLVD STE 230
Second Line :
City : CAMARILLO
State : CA
Zip : 93010-9142
Country : US
Telephone Number : 805-264-5858
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/02/2014
Last Update Date : 01/01/2020

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Directions to “ MRS. ALYSSA WARD BCBA” Practice Location

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