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NPI Code Detail

MEDICARE: REBECCA DEBORAH PRETTER

MEDICARE: REBECCA DEBORAH PRETTER
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 TechnicianMD

General Provider Information

NPI Number : 1053242248
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA DEBORAH PRETTER
Provider Business Mailing Address
First Line : 100 WEST RD STE 300
Second Line :
City : TOWSON
State : MD
Zip : 21204-2370
Country : US
Telephone Number : 410-886-7493
Fax Number :
Provider Business Practice Location Address
First Line : 100 WEST RD STE 300
Second Line :
City : TOWSON
State : MD
Zip : 21204-2370
Country : US
Telephone Number : 410-886-7493
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/26/2026
Last Update Date : 05/26/2026

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Directions to “ REBECCA DEBORAH PRETTER ” Practice Location

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