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NPI Code Detail

MEDICARE: RACHEL PENN

MEDICARE: RACHEL PENN
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
1103K00000XBehavior Analyst
2106S00000XBehavior Technician

General Provider Information

NPI Number : 1639813397
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEL PENN
Provider Business Mailing Address
First Line : 2200 12TH CT N APT 511
Second Line :
City : ARLINGTON
State : VA
Zip : 22201-6513
Country : US
Telephone Number : 914-708-7376
Fax Number :
Provider Business Practice Location Address
First Line : 2312 SECANE RD
Second Line :
City : SECANE
State : PA
Zip : 19018-2810
Country : US
Telephone Number : 267-564-5717
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/27/2022
Last Update Date : 01/02/2026

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Directions to “ RACHEL PENN ” Practice Location

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