MEDICARE: REBECCA MACLIN

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
1	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1578428207
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REBECCA MACLIN

Provider Business Mailing Address
First Line	:	4300 ROGERS AVE STE 24
Second Line	:
City	:	FORT SMITH
State	:	AR
Zip	:	72903-3152
Country	:	US
Telephone Number	:	501-269-1656
Fax Number	:	501-325-1255

Provider Business Practice Location Address
First Line	:	4300 ROGERS AVE STE 24
Second Line	:
City	:	FORT SMITH
State	:	AR
Zip	:	72903-3152
Country	:	US
Telephone Number	:	501-269-1656
Fax Number	:	501-325-1255

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/16/2025
Last Update Date	:	12/16/2025

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Directions to “ REBECCA MACLIN ” Practice Location

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