Healthcare Provider Details

I. General information

NPI: 1528836996
Provider Name (Legal Business Name): MADELYN RAU
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/15/2023
Last Update Date: 10/27/2025
Certification Date: 10/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2436 CHALLENGER LOOP UNIT A
HONOLULU HI
96818-4852
US

IV. Provider business mailing address

2436 CHALLENGER LOOP UNIT A
HONOLULU HI
96818-4852
US

V. Phone/Fax

Practice location:
  • Phone: 513-967-9057
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: