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NPI Code Detail

MEDICARE: IVEE ROGERS RBT

MEDICARE: IVEE ROGERS 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-24-340208TX

General Provider Information

NPI Number : 1629824768
Entity Type Code : Individual
Provider Name (Legal Business Name) : IVEE ROGERS RBT
Provider Business Mailing Address
First Line : 20602 PALM RAIN CT
Second Line :
City : KATY
State : TX
Zip : 77449-1842
Country : US
Telephone Number : 832-792-2637
Fax Number :
Provider Business Practice Location Address
First Line : 1175 ADKINS RD
Second Line :
City : HOUSTON
State : TX
Zip : 77055-7413
Country : US
Telephone Number : 713-391-8688
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/29/2024
Last Update Date : 04/29/2024

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