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NPI Code Detail

MEDICARE: INDIA M DANIELS RBT

MEDICARE: INDIA M DANIELS 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
1376K00000XNurse's Aide401754100515OH
2106S00000XBehavior TechnicianRBT-25-417327IN

General Provider Information

NPI Number : 1972193761
Entity Type Code : Individual
Provider Name (Legal Business Name) : INDIA M DANIELS RBT
Provider Business Mailing Address
First Line : 21250 TRACY AVE
Second Line :
City : EUCLID
State : OH
Zip : 44123-2936
Country : US
Telephone Number : 440-319-8350
Fax Number : 213-860-0270
Provider Business Practice Location Address
First Line : 4840 GRASSELLI ST
Second Line :
City : EAST CHICAGO
State : IN
Zip : 46312-3503
Country : US
Telephone Number : 317-813-4690
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/25/2021
Last Update Date : 11/11/2025

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Directions to “ INDIA M DANIELS RBT” Practice Location

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