MEDICARE: JAMES ALLEN HOUSE 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
1	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1659110062
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES ALLEN HOUSE BCBA

Provider Business Mailing Address
First Line	:	9125 E CATALINA HWY UNIT 43
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85749-6906
Country	:	US
Telephone Number	:	605-951-2025
Fax Number	:

Provider Business Practice Location Address
First Line	:	5700 E PIMA ST
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85712-5601
Country	:	US
Telephone Number	:	602-737-1194
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/23/2024
Last Update Date	:	07/01/2026

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