Elissa Marie Rehn, is a
Behavior Technician based in Stockton, California. Elissa Marie Rehn is licensed to practice in * (Not Available) (license number ) and her current practice location is
1811 Grand Canal Blvd Ste 2, Stockton, California. She can be reached at her office (for appointments etc.) via phone at
(877) 418-2978.
NPI number for Elissa Marie Rehn is 1710221817 and her current mailing address is 5820 Stoneridge Mall Rd Ste 205, Pleasanton, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1710221817.
Healthcare Provider's Profile
| Full Name | Elissa Marie Rehn |
|---|
| Gender | Female |
|---|
| Speciality | Behavior Technician |
|---|
| Location | 1811 Grand Canal Blvd Ste 2, Stockton, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1710221817
- Provider Enumeration Date: 11/15/2012
- Last Update Date: 04/27/2019
Medical Identifiers
Medical identifiers for Elissa Marie Rehn such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1710221817 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 106S00000X | Behavior Technician | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Elissa Marie Rehn is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Elissa Marie Rehn,
5820 Stoneridge Mall Rd Ste 205,
Pleasanton, CA 94588-3347
Ph: (209) 828-7694 | Elissa Marie Rehn,
1811 Grand Canal Blvd Ste 2,
Stockton, CA 95207-8107
Ph: (877) 418-2978 |
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