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NPI Code Detail

MEDICARE: ALEMBIA, INC.

MEDICARE: ALEMBIA, INC.
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
1225700000XMassage TherapistMA 57488FL
2103K00000XBehavior AnalystBCBA 1-09-5040FL

General Provider Information

NPI Number : 1992132484
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALEMBIA, INC.
Provider Business Mailing Address
First Line : 1417 SE 24TH AVE APT C
Second Line :
City : CAPE CORAL
State : FL
Zip : 33990-1974
Country : US
Telephone Number : 239-784-3741
Fax Number : 239-236-1718
Provider Business Practice Location Address
First Line : 8359 BEACON BLVD STE 411
Second Line :
City : FORT MYERS
State : FL
Zip : 33907-3065
Country : US
Telephone Number : 239-425-2616
Fax Number : 239-236-1718
Authorized Official
Title or Position : PRESIDENT
Name : MS. BRENDA JEANNE BAKER
Credential : MA, BCBA, LMT
Telephone Number : 239-784-3741
Provider Enumeration Date : 09/30/2013
Last Update Date : 09/30/2013

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Directions to “ALEMBIA, INC. ” Practice Location

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