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NPI Code Detail

MEDICARE: MARLEINA LEE ROBSON

MEDICARE: MARLEINA LEE ROBSON
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 Analyst1-25-82219IL

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 : 1215415427
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARLEINA LEE ROBSON
Provider Business Mailing Address
First Line : 1351 LINCOLN AVE
Second Line :
City : JACKSONVILLE
State : IL
Zip : 62650-3111
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1532 SW MAPP RD
Second Line :
City : PALM CITY
State : FL
Zip : 34990-2446
Country : US
Telephone Number : 772-678-6704
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/31/2018
Last Update Date : 02/04/2026

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Directions to “ MARLEINA LEE ROBSON ” Practice Location

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