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NPI Code Detail

MEDICARE: REBECCA RANGEL

MEDICARE: REBECCA RANGEL
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 Analyst

General Provider Information

NPI Number : 1902097702
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA RANGEL
Provider Business Mailing Address
First Line : 3002 DOW AVE STE 206
Second Line :
City : TUSTIN
State : CA
Zip : 92780-7234
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3002 DOW AVE STE 206
Second Line :
City : TUSTIN
State : CA
Zip : 92780-7234
Country : US
Telephone Number : 657-294-5113
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/06/2007
Last Update Date : 12/21/2021

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Directions to “ REBECCA RANGEL ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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