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NPI Code Detail

MEDICARE: CRISHARMONY BLANTON-AUSTIN RBT

MEDICARE: CRISHARMONY BLANTON-AUSTIN 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 Technician20-147107TX

General Provider Information

NPI Number : 1588254924
Entity Type Code : Individual
Provider Name (Legal Business Name) : CRISHARMONY BLANTON-AUSTIN RBT
Provider Business Mailing Address
First Line : 3017 MEDLIN DR
Second Line :
City : ARLINGTON
State : TX
Zip : 76015-2336
Country : US
Telephone Number : 682-800-1431
Fax Number :
Provider Business Practice Location Address
First Line : 3017 MEDLIN DR
Second Line :
City : ARLINGTON
State : TX
Zip : 76015-2336
Country : US
Telephone Number : 682-800-1431
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/20/2021
Last Update Date : 01/20/2021

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Directions to “ CRISHARMONY BLANTON-AUSTIN RBT” Practice Location

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