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NPI Code Detail

MEDICARE: ANN DALENA MS, BCBA

MEDICARE: ANN DALENA MS, 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 Analyst11314581CA

General Provider Information

NPI Number : 1881071884
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANN DALENA MS, BCBA
Provider Business Mailing Address
First Line : 2601 MARBER AVE
Second Line :
City : LONG BEACH
State : CA
Zip : 90815-1137
Country : US
Telephone Number : 562-900-7481
Fax Number :
Provider Business Practice Location Address
First Line : 2601 MARBER AVE
Second Line :
City : LONG BEACH
State : CA
Zip : 90815-1137
Country : US
Telephone Number : 562-900-7481
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/29/2015
Last Update Date : 03/09/2021

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