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NPI Code Detail

MEDICARE: ATHENA ANASTASSIA INEZ ROBBINS

MEDICARE: ATHENA ANASTASSIA INEZ ROBBINS
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 : 1568321339
Entity Type Code : Individual
Provider Name (Legal Business Name) : ATHENA ANASTASSIA INEZ ROBBINS
Provider Business Mailing Address
First Line : 8018 S MAIN ST UNIT A10
Second Line :
City : MIDVALE
State : UT
Zip : 84047-7852
Country : US
Telephone Number : 385-241-5310
Fax Number :
Provider Business Practice Location Address
First Line : 12637 S 265 W STE 300
Second Line :
City : DRAPER
State : UT
Zip : 84020-5403
Country : US
Telephone Number : 801-998-8428
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/19/2026
Last Update Date : 01/19/2026

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Directions to “ ATHENA ANASTASSIA INEZ ROBBINS ” Practice Location

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