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NPI Code Detail

MEDICARE: ANNA ALLEN M.S., BCBA

MEDICARE: ANNA ALLEN M.S., 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 : 1689982894
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNA ALLEN M.S., BCBA
Provider Business Mailing Address
First Line : 406 MAREFAIR LN
Second Line :
City : SIMPSONVILLE
State : SC
Zip : 29680-7806
Country : US
Telephone Number : 904-728-0680
Fax Number :
Provider Business Practice Location Address
First Line : 331 E MAIN ST STE 200
Second Line :
City : ROCK HILL
State : SC
Zip : 29730-5384
Country : US
Telephone Number : 855-832-6727
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/22/2010
Last Update Date : 12/28/2021

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Directions to “ ANNA ALLEN M.S., BCBA” Practice Location

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