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NPI Code Detail

MEDICARE: MISS ALYSSAR MAALBAKI BCBA

MEDICARE: MISS ALYSSAR MAALBAKI 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 Analyst5463TX

General Provider Information

NPI Number : 1801508650
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS ALYSSAR MAALBAKI BCBA
Provider Business Mailing Address
First Line : 5433 FRY RD
Second Line :
City : KATY
State : TX
Zip : 77449-5595
Country : US
Telephone Number : 281-503-4050
Fax Number :
Provider Business Practice Location Address
First Line : 5433 FRY RD
Second Line :
City : KATY
State : TX
Zip : 77449-5595
Country : US
Telephone Number : 281-503-4050
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/22/2022
Last Update Date : 12/22/2022

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Directions to “ MISS ALYSSAR MAALBAKI BCBA” Practice Location

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