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NPI Code Detail

MEDICARE: CLINTON ADAM ROBERTSON

MEDICARE: CLINTON ADAM ROBERTSON
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 : 1922955848
Entity Type Code : Individual
Provider Name (Legal Business Name) : CLINTON ADAM ROBERTSON
Provider Business Mailing Address
First Line : 110 EAGLE FORK DR
Second Line :
City : WAYNESVILLE
State : NC
Zip : 28786-8121
Country : US
Telephone Number : 828-335-1379
Fax Number :
Provider Business Practice Location Address
First Line : 5121 KINGDOM WAY STE 100
Second Line :
City : RALEIGH
State : NC
Zip : 27607-6063
Country : US
Telephone Number : 828-335-1379
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/11/2026
Last Update Date : 03/11/2026

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Directions to “ CLINTON ADAM ROBERTSON ” Practice Location

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