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NPI Code Detail

MEDICARE: RACHEL RICUPATI

MEDICARE: RACHEL RICUPATI
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 Technician

General Provider Information

NPI Number : 1306131404
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEL RICUPATI
Provider Business Mailing Address
First Line : 1 HERITAGE DR STE 100
Second Line :
City : SOUTHGATE
State : MI
Zip : 48195-3047
Country : US
Telephone Number : 734-767-2250
Fax Number :
Provider Business Practice Location Address
First Line : 1 HERITAGE DR STE 100
Second Line :
City : SOUTHGATE
State : MI
Zip : 48195-3047
Country : US
Telephone Number : 734-767-2250
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2011
Last Update Date : 09/22/2025

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Directions to “ RACHEL RICUPATI ” 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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