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NPI Code Detail

MEDICARE: DYLAN MASSEY RBT

MEDICARE: DYLAN MASSEY 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 Technician

General Provider Information

NPI Number : 1700439569
Entity Type Code : Individual
Provider Name (Legal Business Name) : DYLAN MASSEY RBT
Provider Business Mailing Address
First Line : 25925 BUDDE RD
Second Line :
City : SPRING
State : TX
Zip : 77380-2011
Country : US
Telephone Number : 281-465-4468
Fax Number :
Provider Business Practice Location Address
First Line : 25925 BUDDE RD
Second Line :
City : SPRING
State : TX
Zip : 77380-2011
Country : US
Telephone Number : 281-465-4468
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/22/2019
Last Update Date : 02/21/2024

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Directions to “ DYLAN MASSEY RBT” Practice Location

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