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NPI Code Detail

MEDICARE: ADAUNTE BIVENS

MEDICARE: ADAUNTE BIVENS
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
1103K00000XBehavior Analyst
2106S00000XBehavior TechnicianRBT-22-236142

General Provider Information

NPI Number : 1528933801
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADAUNTE BIVENS
Provider Business Mailing Address
First Line : 1238 ESTATES WAY
Second Line :
City : POOLER
State : GA
Zip : 31322-3306
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 100 COMMERCE CT
Second Line :
City : POOLER
State : GA
Zip : 31322-9445
Country : US
Telephone Number : 615-560-6622
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/07/2025
Last Update Date : 12/02/2025

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Directions to “ ADAUNTE BIVENS ” Practice Location

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