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NPI Code Detail

MEDICARE: REBEKAH CAWLEY

MEDICARE: REBEKAH CAWLEY
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
1106E00000XAssistant Behavior Analyst
2106S00000XBehavior Technician
3103K00000XBehavior Analyst2023006579MO

General Provider Information

NPI Number : 1740841501
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBEKAH CAWLEY
Provider Business Mailing Address
First Line : 4961 LACLEDE AVE APT 604
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63108-1441
Country : US
Telephone Number : 517-525-6816
Fax Number :
Provider Business Practice Location Address
First Line : 650 OFFICE PKWY
Second Line :
City : CREVE COEUR
State : MO
Zip : 63141-7103
Country : US
Telephone Number : 517-525-6816
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2019
Last Update Date : 03/07/2023

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Directions to “ REBEKAH CAWLEY ” Practice Location

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