MEDICARE: BILLY FELTON

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
1	106S00000X	Behavior Technician
2	103K00000X	Behavior Analyst	6255	TX

General Provider Information

NPI Number	:	1871235499
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BILLY FELTON

Provider Business Mailing Address
First Line	:	8885 RIO SAN DIEGO DR STE 340
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92108-1669
Country	:	US
Telephone Number	:	619-795-9925
Fax Number	:	877-602-5087

Provider Business Practice Location Address
First Line	:	6319 CYPRESSWOOD DR STE 200
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77379
Country	:	US
Telephone Number	:	281-798-0302
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/13/2022
Last Update Date	:	11/28/2023

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Directions to “ BILLY FELTON ” Practice Location

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