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NPI Code Detail

MEDICARE: JESSICA MCCOIN RBT

MEDICARE: JESSICA MCCOIN RBT
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
1106S00000XBehavior TechnicianRBT-21-187511IN

General Provider Information

NPI Number : 1093471203
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA MCCOIN RBT
Provider Business Mailing Address
First Line : 4105 N WALNUT ST
Second Line :
City : MUNCIE
State : IN
Zip : 47303-5904
Country : US
Telephone Number : 765-587-5244
Fax Number : 765-281-6914
Provider Business Practice Location Address
First Line : 4105 N WALNUT ST
Second Line :
City : MUNCIE
State : IN
Zip : 47303-5904
Country : US
Telephone Number : 765-587-5244
Fax Number : 765-281-6914
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/11/2021
Last Update Date : 12/17/2025

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Directions to “ JESSICA MCCOIN RBT” Practice Location

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