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NPI Code Detail

MEDICARE: RACHAEL REDELL

MEDICARE: RACHAEL REDELL
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 : 1831608074
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHAEL REDELL
Provider Business Mailing Address
First Line : 2150 LELARAY ST
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80909-2808
Country : US
Telephone Number : 719-266-1000
Fax Number :
Provider Business Practice Location Address
First Line : 2150 LELARAY ST
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80909-2808
Country : US
Telephone Number : 513-332-5779
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2017
Last Update Date : 06/02/2025

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Directions to “ RACHAEL REDELL ” Practice Location

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