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NPI Code Detail

MEDICARE: BETTY PINCKNEY

MEDICARE: BETTY PINCKNEY
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 : 1144992355
Entity Type Code : Individual
Provider Name (Legal Business Name) : BETTY PINCKNEY
Provider Business Mailing Address
First Line : 6619 GILLESPIE ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19135-2716
Country : US
Telephone Number : 215-485-0041
Fax Number :
Provider Business Practice Location Address
First Line : 1010 N HANCOCK ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19123-2334
Country : US
Telephone Number : 267-978-4305
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/05/2021
Last Update Date : 10/05/2021

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Directions to “ BETTY PINCKNEY ” Practice Location

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