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NPI Code Detail

MEDICARE: JANICE SAULTERS

MEDICARE:   JANICE  SAULTERS
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-20-111138TX

General Provider Information

NPI Number : 1669068318
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANICE SAULTERS
Provider Business Mailing Address
First Line : 911 N GOLIAD ST
Second Line :
City : ROCKWALL
State : TX
Zip : 75087-2230
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 709 W BROAD ST
Second Line :
City : FORNEY
State : TX
Zip : 75126-9148
Country : US
Telephone Number : 469-458-9021
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/16/2020
Last Update Date : 12/16/2020

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Directions to “ JANICE SAULTERS ” Practice Location

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