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NPI Code Detail

MEDICARE: NAEEMAH TOURE RBT

MEDICARE:   NAEEMAH  TOURE  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 Technician

General Provider Information

NPI Number : 1598369811
Entity Type Code : Individual
Provider Name (Legal Business Name) : NAEEMAH TOURE RBT
Provider Business Mailing Address
First Line : 8 SAN JOSE DR STE 3B
Second Line :
City : NEWPORT NEWS
State : VA
Zip : 23606-3508
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8 SAN JOSE DR STE 3B
Second Line :
City : NEWPORT NEWS
State : VA
Zip : 23606-3508
Country : US
Telephone Number : 757-524-2510
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/27/2020
Last Update Date : 05/11/2022

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Directions to “ NAEEMAH TOURE RBT” Practice Location

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