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NPI Code Detail

MEDICARE: RACHAEL BRANDT

MEDICARE: RACHAEL BRANDT
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
11041C0700XClinical Social Worker
2106S00000XBehavior Technician

General Provider Information

NPI Number : 1588224554
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHAEL BRANDT
Provider Business Mailing Address
First Line : 15986 MAUBERT AVE
Second Line :
City : SAN LEANDRO
State : CA
Zip : 94578-2128
Country : US
Telephone Number : 510-773-3546
Fax Number :
Provider Business Practice Location Address
First Line : 1075 CREEKSIDE RIDGE DR STE 280
Second Line :
City : ROSEVILLE
State : CA
Zip : 95678-3504
Country : US
Telephone Number : 510-773-3546
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2019
Last Update Date : 01/07/2025

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Directions to “ RACHAEL BRANDT ” Practice Location

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