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NPI Code Detail

MEDICARE: JORDYN ROBINSON RBT

MEDICARE: JORDYN ROBINSON 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-24-325843SC

General Provider Information

NPI Number : 1548125396
Entity Type Code : Individual
Provider Name (Legal Business Name) : JORDYN ROBINSON RBT
Provider Business Mailing Address
First Line : 2051 EBENEZER RD STE A
Second Line :
City : ROCK HILL
State : SC
Zip : 29732-1015
Country : US
Telephone Number : 803-368-7523
Fax Number :
Provider Business Practice Location Address
First Line : 2051 EBENEZER RD STE A
Second Line :
City : ROCK HILL
State : SC
Zip : 29732-1015
Country : US
Telephone Number : 803-368-7523
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/23/2025
Last Update Date : 12/23/2025

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