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NPI Code Detail

MEDICARE: ADAM PATRICK RBT

MEDICARE: ADAM PATRICK 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
1171M00000XCase Manager/Care Coordinator
2106S00000XBehavior TechnicianRBT-22-201562OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1RBT-22-201562OTHEROHREGISTERED BEHAVIOR TECHNICIAN

General Provider Information

NPI Number : 1427702315
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADAM PATRICK RBT
Provider Business Mailing Address
First Line : 1628 E DOROTHY LN
Second Line :
City : KETTERING
State : OH
Zip : 45429-3810
Country : US
Telephone Number : 937-750-8236
Fax Number :
Provider Business Practice Location Address
First Line : 1628 E DOROTHY LN
Second Line :
City : KETTERING
State : OH
Zip : 45429-3810
Country : US
Telephone Number : 937-750-8236
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2022
Last Update Date : 06/13/2025

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Directions to “ ADAM PATRICK RBT” Practice Location

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