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NPI Code Detail

MEDICARE: TAMEKA BOSTON RBT

MEDICARE:   TAMEKA  BOSTON  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-25-496941IL

General Provider Information

NPI Number : 1396678736
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAMEKA BOSTON RBT
Provider Business Mailing Address
First Line : 2390 WEDGEWOOD DR UNIT 6250
Second Line :
City : AKRON
State : OH
Zip : 44312-2479
Country : US
Telephone Number : 463-213-3882
Fax Number : 855-892-0299
Provider Business Practice Location Address
First Line : 201 N ILLINOIS ST
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46204-1904
Country : US
Telephone Number : 317-537-0987
Fax Number : 855-892-0299
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2026
Last Update Date : 06/05/2026

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Directions to “ TAMEKA BOSTON RBT” Practice Location

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