MEDICARE: BILLY POWELL JR.

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
1	106S00000X	Behavior Technician	RBT-26-524109	NC

General Provider Information

NPI Number	:	1073451738
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BILLY POWELL JR.

Provider Business Mailing Address
First Line	:	106 DOGWOOD DR
Second Line	:
City	:	ELIZABETHTOWN
State	:	NC
Zip	:	28337-5484
Country	:	US
Telephone Number	:	910-785-3146
Fax Number	:

Provider Business Practice Location Address
First Line	:	568 SANDHURST DR
Second Line	:
City	:	FAYETTEVILLE
State	:	NC
Zip	:	28304-4426
Country	:	US
Telephone Number	:	910-223-9020
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/24/2026
Last Update Date	:	03/24/2026

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Directions to “ BILLY POWELL JR. ” Practice Location

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