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NPI Code Detail

MEDICARE: REBECCA SPARACIO BCBA

MEDICARE: REBECCA SPARACIO 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 Analyst3550NC
2103K00000XBehavior Analyst1-20-43192OK

General Provider Information

NPI Number : 1881195741
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA SPARACIO BCBA
Provider Business Mailing Address
First Line : PO BOX 33568
Second Line :
City : SAN DIEGO
State : CA
Zip : 92163-3568
Country : US
Telephone Number : 855-223-7123
Fax Number :
Provider Business Practice Location Address
First Line : 2805 TRENT RD
Second Line :
City : NEW BERN
State : NC
Zip : 28562-2029
Country : US
Telephone Number : 855-223-7123
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/26/2018
Last Update Date : 12/04/2025

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