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NPI Code Detail

MEDICARE: REBECCA DANDE BCBA

MEDICARE: REBECCA DANDE 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
1106S00000XBehavior Technician
2103K00000XBehavior Analyst1-21-48493NC

General Provider Information

NPI Number : 1447744081
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA DANDE BCBA
Provider Business Mailing Address
First Line : 414 MACHOST DR
Second Line :
City : GARNER
State : NC
Zip : 27529-4789
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 956 W CHATHAM ST
Second Line :
City : CARY
State : NC
Zip : 27511-3169
Country : US
Telephone Number : 919-234-1546
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/18/2018
Last Update Date : 03/22/2021

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