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NPI Code Detail

MEDICARE: MADISON R EUBANKS

MEDICARE: MADISON R EUBANKS
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 : 1518532332
Entity Type Code : Individual
Provider Name (Legal Business Name) : MADISON R EUBANKS
Provider Business Mailing Address
First Line : PO BOX 399318
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94139-9318
Country : US
Telephone Number : 866-523-4268
Fax Number :
Provider Business Practice Location Address
First Line : 4920 ROSWELL RD STE 1
Second Line :
City : ATLANTA
State : GA
Zip : 30342-2684
Country : US
Telephone Number : 470-258-4050
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2021
Last Update Date : 01/02/2026

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Directions to “ MADISON R EUBANKS ” Practice Location

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