MEDICARE: RACHAEL HEISER

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	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1306678198
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHAEL HEISER

Provider Business Mailing Address
First Line	:	2631 45TH ST
Second Line	:
City	:	HIGHLAND
State	:	IN
Zip	:	46322-2902
Country	:	US
Telephone Number	:	219-515-0456
Fax Number	:

Provider Business Practice Location Address
First Line	:	2631 45TH ST
Second Line	:
City	:	HIGHLAND
State	:	IN
Zip	:	46322-2902
Country	:	US
Telephone Number	:	219-515-0456
Fax Number	:

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

Provider Enumeration Date	:	08/19/2024
Last Update Date	:	03/02/2026

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Directions to “ RACHAEL HEISER ” Practice Location

Language	Start Address	Practice Location

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