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NPI Code Detail

MEDICARE: LILIA RECHIN

MEDICARE:   LILIA  RECHIN
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 : 1396514790
Entity Type Code : Individual
Provider Name (Legal Business Name) : LILIA RECHIN
Provider Business Mailing Address
First Line : 1529 LEONARD AVE APT A
Second Line :
City : SANTA ROSA
State : CA
Zip : 95405-4520
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1301 REDWOOD WAY STE 210
Second Line :
City : PETALUMA
State : CA
Zip : 94954-1134
Country : US
Telephone Number : 707-806-9921
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/27/2023
Last Update Date : 12/27/2023

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Directions to “ LILIA RECHIN ” Practice Location

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