MEDICARE: REBEKAH GAUT

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	BH000587	PA

General Provider Information

NPI Number	:	1609413384
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REBEKAH GAUT

Provider Business Mailing Address
First Line	:	671 HAWKEYE RD
Second Line	:
City	:	SCOTTDALE
State	:	PA
Zip	:	15683-7735
Country	:	US
Telephone Number	:	724-220-5420
Fax Number	:

Provider Business Practice Location Address
First Line	:	671 HAWKEYE RD
Second Line	:
City	:	SCOTTDALE
State	:	PA
Zip	:	15683-7735
Country	:	US
Telephone Number	:	724-420-2215
Fax Number	:

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

Provider Enumeration Date	:	12/02/2019
Last Update Date	:	02/22/2026

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Directions to “ REBEKAH GAUT ” Practice Location

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