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NPI Code Detail

MEDICARE: RACHEL NICKS

MEDICARE: RACHEL NICKS
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 Analyst
2106S00000XBehavior Technician

General Provider Information

NPI Number : 1114633955
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEL NICKS
Provider Business Mailing Address
First Line : 13019 PAULINE DR
Second Line :
City : SHELBY TOWNSHIP
State : MI
Zip : 48315-3122
Country : US
Telephone Number : 888-770-7240
Fax Number : 248-403-8506
Provider Business Practice Location Address
First Line : 13019 PAULINE DR
Second Line :
City : SHELBY TOWNSHIP
State : MI
Zip : 48315-3122
Country : US
Telephone Number : 888-770-7240
Fax Number : 248-403-8506
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/25/2023
Last Update Date : 12/04/2025

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Directions to “ RACHEL NICKS ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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