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NPI Code Detail

MEDICARE: WILLIAM DENIUS RBT

MEDICARE: WILLIAM DENIUS 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 Technician

General Provider Information

NPI Number : 1144059825
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM DENIUS RBT
Provider Business Mailing Address
First Line : 2063 HIGHWAY 53
Second Line :
City : POPLARVILLE
State : MS
Zip : 39470-4058
Country : US
Telephone Number : 228-596-1774
Fax Number :
Provider Business Practice Location Address
First Line : 6017 WASHINGTON AVE
Second Line :
City : OCEAN SPRINGS
State : MS
Zip : 39564-2648
Country : US
Telephone Number : 228-707-4417
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/30/2024
Last Update Date : 07/30/2024

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Directions to “ WILLIAM DENIUS RBT” Practice Location

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