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NPI Code Detail

MEDICARE: TATIANA WEST RBT

MEDICARE:   TATIANA  WEST  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-25-495441NC

General Provider Information

NPI Number : 1023971736
Entity Type Code : Individual
Provider Name (Legal Business Name) : TATIANA WEST RBT
Provider Business Mailing Address
First Line : 2390 WEDGEWOOD DR UNIT 6250
Second Line :
City : AKRON
State : OH
Zip : 44312-2479
Country : US
Telephone Number : 317-732-8380
Fax Number : 855-892-0299
Provider Business Practice Location Address
First Line : 1299 FARNAM ST STE 300
Second Line :
City : OMAHA
State : NE
Zip : 68102-1857
Country : US
Telephone Number : 317-732-8380
Fax Number : 855-892-0299
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/09/2025
Last Update Date : 12/09/2025

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Directions to “ TATIANA WEST RBT” Practice Location

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