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NPI Code Detail

MEDICARE: DANIELLE PACZYNSKI RBT

MEDICARE: DANIELLE PACZYNSKI RBT
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 TechnicianRBT1624421

General Provider Information

NPI Number : 1861168361
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIELLE PACZYNSKI RBT
Provider Business Mailing Address
First Line : 2171 FOSTER SPROUSE RD
Second Line :
City : THOMSON
State : GA
Zip : 30824-6918
Country : US
Telephone Number : 706-691-4729
Fax Number : 706-843-6294
Provider Business Practice Location Address
First Line : 3633 WHEELER RD STE 320
Second Line :
City : AUGUSTA
State : GA
Zip : 30909-6552
Country : US
Telephone Number : 706-691-4729
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2021
Last Update Date : 06/14/2023

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Directions to “ DANIELLE PACZYNSKI RBT” Practice Location

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