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NPI Code Detail

MEDICARE: MS. NICOLE CHARLOTTE RANGEL BCBA

MEDICARE: MS. NICOLE CHARLOTTE RANGEL 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 Analyst4879TX

General Provider Information

NPI Number : 1477944999
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. NICOLE CHARLOTTE RANGEL BCBA
Provider Business Mailing Address
First Line : 2400 S INTERSTATE 35 STE 190
Second Line :
City : ROUND ROCK
State : TX
Zip : 78681
Country : US
Telephone Number : 737-708-8003
Fax Number : 737-708-8022
Provider Business Practice Location Address
First Line : 2400 S INTERSTATE 35 STE 190
Second Line :
City : ROUND ROCK
State : TX
Zip : 78681-8015
Country : US
Telephone Number : 737-708-8003
Fax Number : 737-708-8022
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/05/2015
Last Update Date : 04/15/2024

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Directions to “ MS. NICOLE CHARLOTTE RANGEL BCBA” Practice Location

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