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NPI Code Detail

MEDICARE: REBECCA LOSER

MEDICARE: REBECCA LOSER
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 : 1538838693
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA LOSER
Provider Business Mailing Address
First Line : 2550 N HOLLYWOOD WAY STE 102
Second Line :
City : BURBANK
State : CA
Zip : 91505-5031
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1040 N 10TH ST STE 100
Second Line :
City : KALAMAZOO
State : MI
Zip : 49009-6150
Country : US
Telephone Number : 866-727-8274
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/10/2021
Last Update Date : 09/10/2021

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Directions to “ REBECCA LOSER ” Practice Location

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