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NPI Code Detail

MEDICARE: ABIGAYLE BAINES

MEDICARE:   ABIGAYLE  BAINES
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 : 1962344853
Entity Type Code : Individual
Provider Name (Legal Business Name) : ABIGAYLE BAINES
Provider Business Mailing Address
First Line : 640 BROADMOR ST STE 80
Second Line :
City : MURFREESBORO
State : TN
Zip : 37129-2756
Country : US
Telephone Number : 615-376-0034
Fax Number :
Provider Business Practice Location Address
First Line : 640 BROADMOR ST STE 80
Second Line :
City : MURFREESBORO
State : TN
Zip : 37129-2756
Country : US
Telephone Number : 615-376-0034
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2026
Last Update Date : 04/08/2026

Similar Medicare Providers

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Directions to “ ABIGAYLE BAINES ” Practice Location

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