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NPI Code Detail

MEDICARE: RACHEL VAN METRE BCBA

MEDICARE: RACHEL VAN METRE 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
1106S00000XBehavior Technician21-196222NC
2103K00000XBehavior Analyst12263249NC

General Provider Information

NPI Number : 1639826027
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEL VAN METRE BCBA
Provider Business Mailing Address
First Line : 240 AMBERLEIGH DR APT 204
Second Line :
City : WILMINGTON
State : NC
Zip : 28411-8018
Country : US
Telephone Number : 336-669-0810
Fax Number :
Provider Business Practice Location Address
First Line : 101 VIRGINIA AVE
Second Line :
City : WILMINGTON
State : NC
Zip : 28401-7000
Country : US
Telephone Number : 47-591-9375
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/04/2022
Last Update Date : 05/02/2023

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Directions to “ RACHEL VAN METRE BCBA” Practice Location

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