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NPI Code Detail

MEDICARE: REBECCA R TOMCZAK

MEDICARE: REBECCA R TOMCZAK
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 : 1285596833
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA R TOMCZAK
Provider Business Mailing Address
First Line : 13019 PAULINE DR
Second Line :
City : SHELBY TOWNSHIP
State : MI
Zip : 48315-3122
Country : US
Telephone Number : 586-207-9255
Fax Number : 248-403-8506
Provider Business Practice Location Address
First Line : 13019 PAULINE DR
Second Line :
City : SHELBY TOWNSHIP
State : MI
Zip : 48315-3122
Country : US
Telephone Number : 586-207-9255
Fax Number : 248-403-8506
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/02/2025
Last Update Date : 12/02/2025

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Directions to “ REBECCA R TOMCZAK ” Practice Location

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