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NPI Code Detail

MEDICARE: RACHEL STANGO BCBA, LBS

MEDICARE: RACHEL STANGO BCBA, LBS
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 Analyst1-19-35926PA

General Provider Information

NPI Number : 1780231167
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEL STANGO BCBA, LBS
Provider Business Mailing Address
First Line : 8748 STARDUST LN
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19136-1220
Country : US
Telephone Number : 484-222-8691
Fax Number :
Provider Business Practice Location Address
First Line : 54 MYRTLE ST
Second Line :
City : BELMONT
State : NC
Zip : 28012-5200
Country : US
Telephone Number : 484-222-8691
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/21/2019
Last Update Date : 01/12/2024

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Directions to “ RACHEL STANGO BCBA, LBS” Practice Location

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