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NPI Code Detail

MEDICARE: BAYLEE BECK RBT

MEDICARE: BAYLEE BECK 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-21-177922KS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1023782380
Entity Type Code : Individual
Provider Name (Legal Business Name) : BAYLEE BECK RBT
Provider Business Mailing Address
First Line : 1312 PATTON RD
Second Line :
City : GREAT BEND
State : KS
Zip : 67530-3120
Country : US
Telephone Number : 620-617-8639
Fax Number :
Provider Business Practice Location Address
First Line : 1312 PATTON RD
Second Line :
City : GREAT BEND
State : KS
Zip : 67530-3120
Country : US
Telephone Number : 620-617-8639
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/02/2021
Last Update Date : 08/02/2021

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Directions to “ BAYLEE BECK RBT” Practice Location

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