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NPI Code Detail

MEDICARE: MALAYA BRYONN DOBBINS

MEDICARE: MALAYA BRYONN DOBBINS
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 TechnicianIL

General Provider Information

NPI Number : 1588527840
Entity Type Code : Individual
Provider Name (Legal Business Name) : MALAYA BRYONN DOBBINS
Provider Business Mailing Address
First Line : 452 N EOLA RD STE A
Second Line :
City : AURORA
State : IL
Zip : 60502-9110
Country : US
Telephone Number : 888-308-3728
Fax Number :
Provider Business Practice Location Address
First Line : 452 N EOLA RD STE A
Second Line :
City : AURORA
State : IL
Zip : 60502-9110
Country : US
Telephone Number : 888-308-3728
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/04/2025
Last Update Date : 12/04/2025

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Directions to “ MALAYA BRYONN DOBBINS ” Practice Location

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