Healthcare Provider Details

I. General information

NPI: 1518873033
Provider Name (Legal Business Name): RACHEL SEIDI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5311 TIN ROOF WAY
RALEIGH NC
27616-6734
US

IV. Provider business mailing address

2636 PIVOT RIDGE DR
RALEIGH NC
27616-4022
US

V. Phone/Fax

Practice location:
  • Phone: 919-745-8892
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-26-2839874
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: