MEDICARE: MRS. REBEKAH C HINCHCLIFFE MS, 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
1	103K00000X	Behavior Analyst	1-18-29388

General Provider Information

NPI Number	:	1801384342
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. REBEKAH C HINCHCLIFFE MS, BCBA

Provider Business Mailing Address
First Line	:	1312 HALL RD
Second Line	:
City	:	WEST CHESTER
State	:	PA
Zip	:	19380-1604
Country	:	US
Telephone Number	:	610-413-1965
Fax Number	:

Provider Business Practice Location Address
First Line	:	606 E BALTIMORE PIKE FL 2
Second Line	:
City	:	MEDIA
State	:	PA
Zip	:	19063-1751
Country	:	US
Telephone Number	:	610-864-7363
Fax Number	:	877-599-3340

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/30/2018
Last Update Date	:	02/01/2023

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