MEDICARE: REBECCA LACHAPELL BCBA

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	103K00000X	Behavior Analyst	BH004564	PA
2	103K00000X	Behavior Analyst	2528	NC

General Provider Information

NPI Number	:	1275123275
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REBECCA LACHAPELL BCBA

Provider Business Mailing Address
First Line	:	4442 GOLDEN VIEW DR
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28278-0205
Country	:	US
Telephone Number	:	484-860-0306
Fax Number	:

Provider Business Practice Location Address
First Line	:	4442 GOLDEN VIEW DR
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28278-0205
Country	:	US
Telephone Number	:	980-279-2256
Fax Number	:

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

Provider Enumeration Date	:	01/22/2021
Last Update Date	:	01/28/2026

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