Healthcare Provider Details

I. General information

NPI: 1881365054
Provider Name (Legal Business Name): RACHEL HOTAKAINEN BCBA, LBA, QSP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/27/2021
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1301 MILLER TRUNK HWY STE 500
DULUTH MN
55811-5644
US

IV. Provider business mailing address

301 W 1ST ST UNIT 605
DULUTH MN
55802-1631
US

V. Phone/Fax

Practice location:
  • Phone: 218-481-7290
  • Fax:
Mailing address:
  • Phone: 240-601-5355
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number12686891
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: