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NPI Code Detail

MEDICARE: REBECCA GEORGINA PERRY

MEDICARE:   REBECCA GEORGINA PERRY
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 : 1841502374
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA GEORGINA PERRY
Provider Business Mailing Address
First Line : 345A GREENWOOD ST
Second Line :
City : WORCESTER
State : MA
Zip : 01607-1753
Country : US
Telephone Number : 508-363-0200
Fax Number : 781-595-4393
Provider Business Practice Location Address
First Line : 345A GREENWOOD ST
Second Line :
City : WORCESTER
State : MA
Zip : 01607-1753
Country : US
Telephone Number : 508-363-0200
Fax Number : 781-595-4393
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2010
Last Update Date : 01/08/2021

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Directions to “ REBECCA GEORGINA PERRY ” Practice Location

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