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NPI Code Detail

MEDICARE: TIERRA VENABLE RBT

MEDICARE:   TIERRA  VENABLE  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-19-77732VA

General Provider Information

NPI Number : 1659906956
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIERRA VENABLE RBT
Provider Business Mailing Address
First Line : 1138 2ND ST SW
Second Line :
City : ROANOKE
State : VA
Zip : 24016-4725
Country : US
Telephone Number : 540-404-1189
Fax Number : 540-904-0096
Provider Business Practice Location Address
First Line : 1138 2ND ST SW
Second Line :
City : ROANOKE
State : VA
Zip : 24016-4725
Country : US
Telephone Number : 540-404-1189
Fax Number : 540-904-0096
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/06/2020
Last Update Date : 03/06/2020

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Directions to “ TIERRA VENABLE RBT” Practice Location

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