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NPI Code Detail

MEDICARE: DELANEY GRACE RAETZ

MEDICARE: DELANEY GRACE RAETZ
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
1106S00000XBehavior TechnicianNV

General Provider Information

NPI Number : 1073479119
Entity Type Code : Individual
Provider Name (Legal Business Name) : DELANEY GRACE RAETZ
Provider Business Mailing Address
First Line : 7160 RAFAEL RIVERA WAY STE 110
Second Line :
City : LAS VEGAS
State : NV
Zip : 89113-5394
Country : US
Telephone Number : 702-850-2691
Fax Number :
Provider Business Practice Location Address
First Line : 7160 RAFAEL RIVERA WAY STE 110
Second Line :
City : LAS VEGAS
State : NV
Zip : 89113-5394
Country : US
Telephone Number : 702-850-2691
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/02/2026
Last Update Date : 01/02/2026

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Directions to “ DELANEY GRACE RAETZ ” Practice Location

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