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NPI Code Detail

MEDICARE: MORGAN MADDOX RBT

MEDICARE: MORGAN MADDOX 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-26-517350GA

General Provider Information

NPI Number : 1942130232
Entity Type Code : Individual
Provider Name (Legal Business Name) : MORGAN MADDOX RBT
Provider Business Mailing Address
First Line : 2250 N DRUID HILLS RD NE STE 280
Second Line :
City : ATLANTA
State : GA
Zip : 30329-3141
Country : US
Telephone Number : 404-282-8846
Fax Number : 470-604-9792
Provider Business Practice Location Address
First Line : 2250 N DRUID HILLS RD NE STE 280
Second Line :
City : ATLANTA
State : GA
Zip : 30329-3141
Country : US
Telephone Number : 404-282-8846
Fax Number : 470-604-9792
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2026
Last Update Date : 05/20/2026

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Directions to “ MORGAN MADDOX RBT” Practice Location

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