MEDICARE: REBECCA DUMBAUGH M. ED., RBT

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
2	101YM0800X	Mental Health Counselor

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1932473501
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REBECCA DUMBAUGH M. ED., RBT

Provider Business Mailing Address
First Line	:	72 ACCORD PARK DR
Second Line	:
City	:	NORWELL
State	:	MA
Zip	:	02061-1606
Country	:	US
Telephone Number	:	781-923-0900
Fax Number	:

Provider Business Practice Location Address
First Line	:	72 ACCORD PARK DR
Second Line	:
City	:	NORWELL
State	:	MA
Zip	:	02061-1606
Country	:	US
Telephone Number	:	781-405-0073
Fax Number	:

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

Provider Enumeration Date	:	02/29/2012
Last Update Date	:	12/18/2024

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