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NPI Code Detail

MEDICARE: ALEXIS COLE RBT

MEDICARE: ALEXIS COLE 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 TechnicianNC

General Provider Information

NPI Number : 1679114839
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXIS COLE RBT
Provider Business Mailing Address
First Line : 4929 DARCY WOODS LN
Second Line :
City : FUQUAY VARINA
State : NC
Zip : 27526-7622
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4929 DARCY WOODS LN
Second Line :
City : FUQUAY VARINA
State : NC
Zip : 27526-7622
Country : US
Telephone Number : 919-400-4224
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/30/2019
Last Update Date : 09/30/2019

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Directions to “ ALEXIS COLE RBT” Practice Location

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