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NPI Code Detail

MEDICARE: ALYSON BONO

MEDICARE: ALYSON BONO
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
1247200000XOther Technician
2103K00000XBehavior Analyst7401001807MI

General Provider Information

NPI Number : 1912376336
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALYSON BONO
Provider Business Mailing Address
First Line : 2805 S INDUSTRIAL HWY STE 100
Second Line :
City : ANN ARBOR
State : MI
Zip : 48104-6791
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 350 PINECREST ST
Second Line :
City : ALPENA
State : MI
Zip : 49707-1328
Country : US
Telephone Number : 989-278-8878
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/15/2015
Last Update Date : 08/18/2025

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Directions to “ ALYSON BONO ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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