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NPI Code Detail

MEDICARE: BAYLEE ELIZABETH ANN ROWND

MEDICARE: BAYLEE ELIZABETH ANN ROWND
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 : 1912644964
Entity Type Code : Individual
Provider Name (Legal Business Name) : BAYLEE ELIZABETH ANN ROWND
Provider Business Mailing Address
First Line : 1399 GREENTREE VALLEY CT APT 1
Second Line :
City : MEMPHIS
State : TN
Zip : 38119-6129
Country : US
Telephone Number : 901-212-8296
Fax Number :
Provider Business Practice Location Address
First Line : 4075 PARK AVE
Second Line :
City : MEMPHIS
State : TN
Zip : 38111-7400
Country : US
Telephone Number : 901-584-8281
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2022
Last Update Date : 05/19/2022

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Directions to “ BAYLEE ELIZABETH ANN ROWND ” Practice Location

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