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NPI Code Detail

MEDICARE: AMY REPKO

MEDICARE:   AMY  REPKO
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 AnalystBH001204PA
2101Y00000XCounselorAP001131PA

General Provider Information

NPI Number : 1083202329
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY REPKO
Provider Business Mailing Address
First Line : 16055 PERRY HWY
Second Line :
City : WEXFORD
State : PA
Zip : 15090-6885
Country : US
Telephone Number : 412-566-9697
Fax Number :
Provider Business Practice Location Address
First Line : 3025 JACKS RUN RD
Second Line :
City : WHITE OAK
State : PA
Zip : 15131-2549
Country : US
Telephone Number : 724-612-2791
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/04/2021
Last Update Date : 05/30/2025

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Directions to “ AMY REPKO ” Practice Location

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