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NPI Code Detail

MEDICARE: MADISON GRACE SCHILL RBT

MEDICARE: MADISON GRACE SCHILL 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-26-521321CO

General Provider Information

NPI Number : 1538016209
Entity Type Code : Individual
Provider Name (Legal Business Name) : MADISON GRACE SCHILL RBT
Provider Business Mailing Address
First Line : 5225 CAMBRIA DR
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80918-2301
Country : US
Telephone Number : 719-203-6903
Fax Number : 719-203-6904
Provider Business Practice Location Address
First Line : 2760 FIELDSTONE RD
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80919-3100
Country : US
Telephone Number : 719-203-6903
Fax Number : 719-203-6904
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/12/2026
Last Update Date : 03/12/2026

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Directions to “ MADISON GRACE SCHILL RBT” Practice Location

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