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NPI Code Detail

MEDICARE: ALYSSA RENAE DOBSON

MEDICARE: ALYSSA RENAE DOBSON
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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1689484099
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALYSSA RENAE DOBSON
Provider Business Mailing Address
First Line : 1520 RIVER PARK DR
Second Line :
City : SACRAMENTO
State : CA
Zip : 95815-4602
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1520 RIVER PARK DR
Second Line :
City : SACRAMENTO
State : CA
Zip : 95815-4602
Country : US
Telephone Number : 209-342-7353
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/08/2025
Last Update Date : 01/08/2025

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Directions to “ ALYSSA RENAE DOBSON ” Practice Location

Language Start Address Practice Location
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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