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NPI Code Detail

MEDICARE: RACHEL MARIE ANDRUS

MEDICARE: RACHEL MARIE ANDRUS
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 : 1770175226
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEL MARIE ANDRUS
Provider Business Mailing Address
First Line : 11777 GILES ST
Second Line :
City : LAS VEGAS
State : NV
Zip : 89183-5681
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2340 W HORIZON RIDGE PKWY
Second Line :
City : HENDERSON
State : NV
Zip : 89052-5074
Country : US
Telephone Number : 702-610-2076
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/05/2021
Last Update Date : 02/05/2021

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Directions to “ RACHEL MARIE ANDRUS ” Practice Location

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