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NPI Code Detail

MEDICARE: ALEXANDRIA NYLANDER

MEDICARE:   ALEXANDRIA  NYLANDER
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

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1699262626
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXANDRIA NYLANDER
Provider Business Mailing Address
First Line : 3917 RESEARCH PARK DR UNIT B-1A
Second Line :
City : ANN ARBOR
State : MI
Zip : 48108-2229
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3917 RESEARCH PARK DR UNIT B-1A
Second Line :
City : ANN ARBOR
State : MI
Zip : 48108-2229
Country : US
Telephone Number : 734-794-2930
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/16/2018
Last Update Date : 09/13/2023

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Directions to “ ALEXANDRIA NYLANDER ” Practice Location

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