MEDICARE: TALIA LEWIS-FURRS

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-25-475962	NC

General Provider Information

NPI Number	:	1538023908
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TALIA LEWIS-FURRS

Provider Business Mailing Address
First Line	:	1031 WH SMITH BLVD
Second Line	:
City	:	GREENVILLE
State	:	NC
Zip	:	27834-5052
Country	:	US
Telephone Number	:	252-493-6525
Fax Number	:

Provider Business Practice Location Address
First Line	:	1031 WH SMITH BLVD
Second Line	:
City	:	GREENVILLE
State	:	NC
Zip	:	27834-5052
Country	:	US
Telephone Number	:	252-493-6525
Fax Number	:

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

Provider Enumeration Date	:	12/10/2025
Last Update Date	:	12/10/2025

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Directions to “ TALIA LEWIS-FURRS ” Practice Location

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