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NPI Code Detail

MEDICARE: SANTISHA LAQUELLE MCRAE

MEDICARE: SANTISHA LAQUELLE MCRAE
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 TechnicianVA

General Provider Information

NPI Number : 1942181250
Entity Type Code : Individual
Provider Name (Legal Business Name) : SANTISHA LAQUELLE MCRAE
Provider Business Mailing Address
First Line : PO BOX 360595
Second Line :
City : PITTSBURGH
State : PA
Zip : 15251-6595
Country : US
Telephone Number : 718-215-5311
Fax Number : 718-865-5165
Provider Business Practice Location Address
First Line : PO BOX 360595
Second Line :
City : PITTSBURGH
State : PA
Zip : 15251-6595
Country : US
Telephone Number : 718-215-5311
Fax Number : 718-865-5165
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/11/2025
Last Update Date : 06/11/2026

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Directions to “ SANTISHA LAQUELLE MCRAE ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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