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NPI Code Detail

MEDICARE: ANALISSA TOMLIN RBT

MEDICARE: ANALISSA TOMLIN 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-20-140542TX

General Provider Information

NPI Number : 1609456300
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANALISSA TOMLIN RBT
Provider Business Mailing Address
First Line : 5949 BABCOCK RD
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78240-2485
Country : US
Telephone Number : 210-678-4401
Fax Number :
Provider Business Practice Location Address
First Line : 5949 BABCOCK RD
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78240-2485
Country : US
Telephone Number : 210-678-4401
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2021
Last Update Date : 04/08/2021

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Directions to “ ANALISSA TOMLIN RBT” Practice Location

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