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NPI Code Detail

MEDICARE: LILLIAN GRACE COX RBT

MEDICARE:   LILLIAN GRACE COX  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-26-522350IN

General Provider Information

NPI Number : 1326986886
Entity Type Code : Individual
Provider Name (Legal Business Name) : LILLIAN GRACE COX RBT
Provider Business Mailing Address
First Line : 1061 E SOUTHERN AVE
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46203-5214
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1061 E SOUTHERN AVE
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46203-5214
Country : US
Telephone Number : 463-701-0909
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 “ LILLIAN GRACE COX RBT” Practice Location

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