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NPI Code Detail

MEDICARE: MS. ARTAVIA DANIELLE DENNIS

MEDICARE: MS. ARTAVIA DANIELLE DENNIS
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
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1053803197
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ARTAVIA DANIELLE DENNIS
Provider Business Mailing Address
First Line : 104 NORTHWEST DR
Second Line :
City : ROUND ROCK
State : TX
Zip : 78664-4250
Country : US
Telephone Number : 251-725-2003
Fax Number :
Provider Business Practice Location Address
First Line : 104 NORTHWEST DR
Second Line :
City : ROUND ROCK
State : TX
Zip : 78664-4250
Country : US
Telephone Number : 251-725-2003
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2018
Last Update Date : 08/29/2023

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Directions to “ MS. ARTAVIA DANIELLE DENNIS ” Practice Location

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