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NPI Code Detail

MEDICARE: RACHELLE MCCLEAN

MEDICARE: RACHELLE MCCLEAN
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 AnalystTN
2106S00000XBehavior Technician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1679201511
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHELLE MCCLEAN
Provider Business Mailing Address
First Line : 300 INTERNATIONAL PKWY STE 200
Second Line :
City : LAKE MARY
State : FL
Zip : 32746-5028
Country : US
Telephone Number : 866-610-0580
Fax Number :
Provider Business Practice Location Address
First Line : 3326 ASPEN GROVE DR STE 604
Second Line :
City : FRANKLIN
State : TN
Zip : 37067-4858
Country : US
Telephone Number : 629-236-4547
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2022
Last Update Date : 10/06/2025

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Directions to “ RACHELLE MCCLEAN ” Practice Location

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