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NPI Code Detail

MEDICARE: NATOYA EVANS M.A., B.C.B.A.

MEDICARE: NATOYA EVANS M.A., B.C.B.A.
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 Analyst1-15-21000CA

General Provider Information

NPI Number : 1841650819
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATOYA EVANS M.A., B.C.B.A.
Provider Business Mailing Address
First Line : 2604 W EMPIRE AVE
Second Line :
City : BURBANK
State : CA
Zip : 91504-3248
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4000 SMITHTOWN RD STE 200
Second Line :
City : SUWANEE
State : GA
Zip : 30024-6560
Country : US
Telephone Number : 470-632-4990
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/03/2016
Last Update Date : 08/04/2021

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