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NPI Code Detail

MEDICARE: ROBIN ALICIA JONES RBT

MEDICARE: ROBIN ALICIA JONES 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-24-367970CO

General Provider Information

NPI Number : 1720819113
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBIN ALICIA JONES RBT
Provider Business Mailing Address
First Line : 1111 YOSEMITE DR
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80910-2040
Country : US
Telephone Number : 720-276-7314
Fax Number :
Provider Business Practice Location Address
First Line : 1015 GARDEN OF THE GODS RD
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80907-3489
Country : US
Telephone Number : 719-354-5297
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/08/2024
Last Update Date : 08/08/2024

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Directions to “ ROBIN ALICIA JONES RBT” Practice Location

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