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NPI Code Detail

MEDICARE: KEAVAGH CHAVEZ RBT

MEDICARE: KEAVAGH CHAVEZ 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-23-262928TX

General Provider Information

NPI Number : 1790545150
Entity Type Code : Individual
Provider Name (Legal Business Name) : KEAVAGH CHAVEZ RBT
Provider Business Mailing Address
First Line : 9350 PASADENA DR STE 200
Second Line :
City : FRISCO
State : TX
Zip : 75033-5723
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9350 PASADENA DR STE 200
Second Line :
City : FRISCO
State : TX
Zip : 75033-5723
Country : US
Telephone Number : 855-444-5664
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/21/2024
Last Update Date : 03/21/2024

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Directions to “ KEAVAGH CHAVEZ RBT” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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