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NPI Code Detail

MEDICARE: MRS. RACHAEL SHERRA YOUNG M.ED, BCBA

MEDICARE:  MRS. RACHAEL SHERRA YOUNG  M.ED, BCBA
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
1103K00000XBehavior Analyst1-16-21578CA

General Provider Information

NPI Number : 1346607991
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. RACHAEL SHERRA YOUNG M.ED, BCBA
Provider Business Mailing Address
First Line : 3861 LAKE CIRCLE DR
Second Line :
City : FALLBROOK
State : CA
Zip : 92028-7872
Country : US
Telephone Number : 619-871-1635
Fax Number :
Provider Business Practice Location Address
First Line : 3861 LAKE CIRCLE DR
Second Line :
City : FALLBROOK
State : CA
Zip : 92028-7872
Country : US
Telephone Number : 619-871-1635
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/26/2016
Last Update Date : 05/20/2024

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Directions to “ MRS. RACHAEL SHERRA YOUNG M.ED, BCBA” Practice Location

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