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NPI Code Detail

MEDICARE: REBECCA MARIE COLLINS

MEDICARE:   REBECCA MARIE COLLINS
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
1247200000XOther Technician
2106S00000XBehavior Technician

General Provider Information

NPI Number : 1730663881
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA MARIE COLLINS
Provider Business Mailing Address
First Line : 4833 HIGHWAY 2321
Second Line :
City : PANAMA CITY
State : FL
Zip : 32404-5776
Country : US
Telephone Number : 850-866-7894
Fax Number :
Provider Business Practice Location Address
First Line : 2924 KINGS RD
Second Line :
City : PANAMA CITY
State : FL
Zip : 32405-2016
Country : US
Telephone Number : 850-348-1057
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/24/2018
Last Update Date : 03/18/2024

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Directions to “ REBECCA MARIE COLLINS ” Practice Location

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