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NPI Code Detail

MEDICARE: TAYA BEBLEY RBT

MEDICARE:   TAYA  BEBLEY  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
1106S00000XBehavior TechnicianRBT-23-292063IN

General Provider Information

NPI Number : 1528863586
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAYA BEBLEY RBT
Provider Business Mailing Address
First Line : 3006 EASTPOINT PKWY
Second Line :
City : LOUISVILLE
State : KY
Zip : 40223-4185
Country : US
Telephone Number : 502-795-0773
Fax Number :
Provider Business Practice Location Address
First Line : 6640 PARKDALE PL STE R
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46254-4698
Country : US
Telephone Number : 317-383-0188
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/14/2025
Last Update Date : 02/14/2025

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Directions to “ TAYA BEBLEY RBT” Practice Location

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