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NPI Code Detail

MEDICARE: ALEXIS NICOLE TAUNTON

MEDICARE: ALEXIS NICOLE TAUNTON
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-24-397775LA

General Provider Information

NPI Number : 1417802992
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXIS NICOLE TAUNTON
Provider Business Mailing Address
First Line : 3141 MARCUS DR
Second Line :
City : RUSTON
State : LA
Zip : 71270-5355
Country : US
Telephone Number : 318-327-8223
Fax Number : 318-327-9223
Provider Business Practice Location Address
First Line : 505 GLENMAR AVE
Second Line :
City : MONROE
State : LA
Zip : 71201-5309
Country : US
Telephone Number : 318-327-8223
Fax Number : 318-327-9223
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2026
Last Update Date : 03/02/2026

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Directions to “ ALEXIS NICOLE TAUNTON ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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