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NPI Code Detail

MEDICARE: RACHEL HOTAKAINEN BCBA, LBA, QSP

MEDICARE: RACHEL HOTAKAINEN BCBA, LBA, QSP
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 Analyst12686891MN

General Provider Information

NPI Number : 1881365054
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEL HOTAKAINEN BCBA, LBA, QSP
Provider Business Mailing Address
First Line : 301 W 1ST ST UNIT 605
Second Line :
City : DULUTH
State : MN
Zip : 55802-1631
Country : US
Telephone Number : 240-601-5355
Fax Number :
Provider Business Practice Location Address
First Line : 1301 MILLER TRUNK HWY STE 500
Second Line :
City : DULUTH
State : MN
Zip : 55811-5644
Country : US
Telephone Number : 218-481-7290
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/27/2021
Last Update Date : 05/26/2026

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