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NPI Code Detail

MEDICARE: CORINA PLITT BS, RBT

MEDICARE: CORINA PLITT BS, 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 Technician

General Provider Information

NPI Number : 1811546526
Entity Type Code : Individual
Provider Name (Legal Business Name) : CORINA PLITT BS, RBT
Provider Business Mailing Address
First Line : 16800 DALLAS PKWY STE 200
Second Line :
City : DALLAS
State : TX
Zip : 75248-1961
Country : US
Telephone Number : 972-532-1849
Fax Number :
Provider Business Practice Location Address
First Line : 4540 SPRING STUEBNER RD STE 100
Second Line :
City : SPRING
State : TX
Zip : 77389-1116
Country : US
Telephone Number : 832-764-7926
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/05/2019
Last Update Date : 07/01/2020

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