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NPI Code Detail

MEDICARE: DARCY S REN BCBA

MEDICARE: DARCY S REN 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
1103K00000XBehavior Analyst1-26-86896NC
2106S00000XBehavior Technician

General Provider Information

NPI Number : 1750130746
Entity Type Code : Individual
Provider Name (Legal Business Name) : DARCY S REN BCBA
Provider Business Mailing Address
First Line : 216 LYNNFIELD LN
Second Line :
City : GARNER
State : NC
Zip : 27529-9573
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 314 CHAPANOKE RD
Second Line :
City : RALEIGH
State : NC
Zip : 27603-3400
Country : US
Telephone Number : 919-783-8898
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/14/2024
Last Update Date : 01/05/2026

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