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NPI Code Detail

MEDICARE: DAKOTA CHEYENNE BAIN

MEDICARE: DAKOTA CHEYENNE BAIN
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
2103K00000XBehavior Analyst4385TX

General Provider Information

NPI Number : 1952828865
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAKOTA CHEYENNE BAIN
Provider Business Mailing Address
First Line : 2105 E PARK ST
Second Line :
City : CEDAR PARK
State : TX
Zip : 78613-4598
Country : US
Telephone Number : 512-588-1362
Fax Number :
Provider Business Practice Location Address
First Line : 2105 E PARK ST
Second Line :
City : CEDAR PARK
State : TX
Zip : 78613-4598
Country : US
Telephone Number : 512-588-1362
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/23/2017
Last Update Date : 09/28/2021

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Directions to “ DAKOTA CHEYENNE BAIN ” Practice Location

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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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