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NPI Code Detail

MEDICARE: MADISON TIBBETS

MEDICARE:   MADISON  TIBBETS
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

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1RBT-26-528806OTHERALRBT-26-528806

General Provider Information

NPI Number : 1659215374
Entity Type Code : Individual
Provider Name (Legal Business Name) : MADISON TIBBETS
Provider Business Mailing Address
First Line : 1018 S BRUNDIDGE ST
Second Line :
City : TROY
State : AL
Zip : 36081-3148
Country : US
Telephone Number : 334-792-5020
Fax Number :
Provider Business Practice Location Address
First Line : 1018 S BRUNDIDGE ST
Second Line :
City : TROY
State : AL
Zip : 36081-3148
Country : US
Telephone Number : 334-792-5020
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/14/2026
Last Update Date : 04/14/2026

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Directions to “ MADISON TIBBETS ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.