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NPI Code Detail

MEDICARE: RACHEL ADAMS

MEDICARE: RACHEL ADAMS
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 Analyst7401002301MI
2106E00000XAssistant Behavior Analyst7402000049MI
3106S00000XBehavior Technician

General Provider Information

NPI Number : 1003314238
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEL ADAMS
Provider Business Mailing Address
First Line : 111 NEWMAN ST
Second Line :
City : EAST TAWAS
State : MI
Zip : 48730-1272
Country : US
Telephone Number : 899-464-5399
Fax Number :
Provider Business Practice Location Address
First Line : 111 NEWMAN ST
Second Line :
City : EAST TAWAS
State : MI
Zip : 48730-1272
Country : US
Telephone Number : 989-464-5399
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2018
Last Update Date : 01/04/2024

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Directions to “ RACHEL ADAMS ” Practice Location

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