MEDICARE: REBECCA AIMEE DANSIE

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
1	106S00000X	Behavior Technician	1989206	FL
2	106S00000X	Behavior Technician	22-240541	FL

General Provider Information

NPI Number	:	1215592365
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REBECCA AIMEE DANSIE

Provider Business Mailing Address
First Line	:	1391 W JAPONICA PL
Second Line	:
City	:	CITRUS SPRINGS
State	:	FL
Zip	:	34434-5945
Country	:	US
Telephone Number	:	760-646-2312
Fax Number	:

Provider Business Practice Location Address
First Line	:	1391 W JAPONICA PL
Second Line	:
City	:	CITRUS SPRINGS
State	:	FL
Zip	:	34434-5945
Country	:	US
Telephone Number	:	760-646-2312
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/03/2019
Last Update Date	:	09/25/2024

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Directions to “ REBECCA AIMEE DANSIE ” Practice Location

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