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NPI Code Detail

MEDICARE: ROBERT COVER

MEDICARE:   ROBERT  COVER
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 Technician

General Provider Information

NPI Number : 1588550032
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT COVER
Provider Business Mailing Address
First Line : 755 E NEES AVE # 25940
Second Line :
City : FRESNO
State : CA
Zip : 93720-2151
Country : US
Telephone Number : 559-477-5546
Fax Number :
Provider Business Practice Location Address
First Line : 2721 CESAR CHAVEZ BLVD
Second Line :
City : FRESNO
State : CA
Zip : 93721-2366
Country : US
Telephone Number : 559-420-3852
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2025
Last Update Date : 06/12/2025

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Directions to “ ROBERT COVER ” Practice Location

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