MEDICARE: NAIYA HILL

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	RBT-21-162159	GA

General Provider Information

NPI Number	:	1144808924
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NAIYA HILL

Provider Business Mailing Address
First Line	:	5 REVERE DR STE 120
Second Line	:
City	:	NORTHBROOK
State	:	IL
Zip	:	60062-8005
Country	:	US
Telephone Number	:	800-356-4049
Fax Number	:	941-485-0519

Provider Business Practice Location Address
First Line	:	100 GRACE HOPPER LN
Second Line	:
City	:	AUGUSTA
State	:	GA
Zip	:	30901-0009
Country	:	US
Telephone Number	:	800-356-4049
Fax Number	:	941-485-0519

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

Provider Enumeration Date	:	04/01/2021
Last Update Date	:	04/01/2021

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Directions to “ NAIYA HILL ” Practice Location

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