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NPI Code Detail

MEDICARE: RACHELLE ANN BACA

MEDICARE: RACHELLE ANN BACA
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
1106E00000XAssistant Behavior Analyst

General Provider Information

NPI Number : 1952267668
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHELLE ANN BACA
Provider Business Mailing Address
First Line : 945 N CENTRAL AVE
Second Line :
City : WOODMERE
State : NY
Zip : 11598-1604
Country : US
Telephone Number : 516-206-8900
Fax Number :
Provider Business Practice Location Address
First Line : 945 N CENTRAL AVE
Second Line :
City : WOODMERE
State : NY
Zip : 11598-1604
Country : US
Telephone Number : 516-206-8900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/27/2025
Last Update Date : 12/27/2025

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Directions to “ RACHELLE ANN BACA ” Practice Location

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