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NPI Code Detail

MEDICARE: ELIJAH EZRA NEWTON RBT

MEDICARE: ELIJAH EZRA NEWTON 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 TechnicianBACB478796TX

General Provider Information

NPI Number : 1811518558
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIJAH EZRA NEWTON RBT
Provider Business Mailing Address
First Line : 8181 COMMERCE PARK DR STE 726
Second Line :
City : HOUSTON
State : TX
Zip : 77036-7449
Country : US
Telephone Number : 346-217-8328
Fax Number :
Provider Business Practice Location Address
First Line : 8181 COMMERCE PARK DR STE 726
Second Line :
City : HOUSTON
State : TX
Zip : 77036-7449
Country : US
Telephone Number : 346-217-8328
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/05/2020
Last Update Date : 05/17/2023

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Directions to “ ELIJAH EZRA NEWTON RBT” Practice Location

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