MEDICARE: ELIZABETH TOWNSEND 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
1	106S00000X	Behavior Technician	RBT-26-519911	WY

General Provider Information

NPI Number	:	1225984545
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH TOWNSEND RBT

Provider Business Mailing Address
First Line	:	1508 9TH ST LOT 64
Second Line	:
City	:	ROCK SPRINGS
State	:	WY
Zip	:	82901-6028
Country	:	US
Telephone Number	:	907-565-9405
Fax Number	:

Provider Business Practice Location Address
First Line	:	79 WINSTON DR
Second Line	:
City	:	ROCK SPRINGS
State	:	WY
Zip	:	82901-5768
Country	:	US
Telephone Number	:	907-565-9405
Fax Number	:

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

Provider Enumeration Date	:	03/09/2026
Last Update Date	:	03/09/2026

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Directions to “ ELIZABETH TOWNSEND RBT” Practice Location

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