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NPI Code Detail

MEDICARE: VICTORIA BAILEY RBT

MEDICARE: VICTORIA BAILEY 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-16-23714AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1RBT-16-23714OTHERAZRBT

General Provider Information

NPI Number : 1851871644
Entity Type Code : Individual
Provider Name (Legal Business Name) : VICTORIA BAILEY RBT
Provider Business Mailing Address
First Line : 8002 E 50TH DRIVE
Second Line : NULL
City : DENVER
State : CO
Zip : 80238
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3420 E SHEA BLVD STE 200
Second Line :
City : PHOENIX
State : AZ
Zip : 85028-3348
Country : US
Telephone Number : 775-560-3345
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/21/2018
Last Update Date : 08/21/2018

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Directions to “ VICTORIA BAILEY RBT” Practice Location

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