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NPI Code Detail

MEDICARE: REINALYN MACADANGDANG

MEDICARE: REINALYN MACADANGDANG
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 : 1720856727
Entity Type Code : Individual
Provider Name (Legal Business Name) : REINALYN MACADANGDANG
Provider Business Mailing Address
First Line : 39201 STATE ST
Second Line :
City : FREMONT
State : CA
Zip : 94538-1437
Country : US
Telephone Number : 510-347-8105
Fax Number :
Provider Business Practice Location Address
First Line : 577 SALMAR AVE
Second Line :
City : CAMPBELL
State : CA
Zip : 95008-1453
Country : US
Telephone Number : 669-242-5090
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/19/2023
Last Update Date : 10/15/2024

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Directions to “ REINALYN MACADANGDANG ” Practice Location

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