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NPI Code Detail

MEDICARE: RACHEL GRACE QUEZADA MS

MEDICARE: RACHEL GRACE QUEZADA MS
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 Analyst924559CO

General Provider Information

NPI Number : 1528903069
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEL GRACE QUEZADA MS
Provider Business Mailing Address
First Line : 543 31 RD
Second Line :
City : GRAND JUNCTION
State : CO
Zip : 81504-5772
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 543 31 RD
Second Line :
City : GRAND JUNCTION
State : CO
Zip : 81504-5772
Country : US
Telephone Number : 970-549-2303
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/21/2026
Last Update Date : 04/21/2026

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Directions to “ RACHEL GRACE QUEZADA MS” Practice Location

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