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NPI Code Detail

MEDICARE: DREW DENNIS RBT

MEDICARE: DREW DENNIS 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-22-214484IN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1RBT-22-214484OTHERINBEHAVIOR ANALYST CERTIFICATION BOARD

General Provider Information

NPI Number : 1659977205
Entity Type Code : Individual
Provider Name (Legal Business Name) : DREW DENNIS RBT
Provider Business Mailing Address
First Line : 2900 S DIXON RD
Second Line :
City : KOKOMO
State : IN
Zip : 46902-2997
Country : US
Telephone Number : 765-860-1365
Fax Number :
Provider Business Practice Location Address
First Line : 2900 S DIXON RD
Second Line :
City : KOKOMO
State : IN
Zip : 46902-2997
Country : US
Telephone Number : 765-860-1365
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/09/2020
Last Update Date : 07/05/2023

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Directions to “ DREW DENNIS RBT” Practice Location

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