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NPI Code Detail

MEDICARE: RACHAEL CAIN BCBA

MEDICARE: RACHAEL CAIN BCBA
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

General Provider Information

NPI Number : 1366852758
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHAEL CAIN BCBA
Provider Business Mailing Address
First Line : 175 MIDDLE ST UNIT 1201
Second Line :
City : LAKE MARY
State : FL
Zip : 32746-3625
Country : US
Telephone Number : 866-610-0580
Fax Number : 407-588-6294
Provider Business Practice Location Address
First Line : 514 S HUNT CLUB BLVD
Second Line :
City : APOPKA
State : FL
Zip : 32703-4948
Country : US
Telephone Number : 407-613-2335
Fax Number : 407-588-6636
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/06/2014
Last Update Date : 10/31/2018

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