Miller, Rachel Mae
Miller, Rachel Mae is an individual health care provider with primary practice located at 1300 Airport North Office Park , Fort Wayne IN 46825-6716. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Miller, Rachel Mae can be contacted via phone (260) 471-9263.Contact Information
Primary practice address
1300 Airport North Office Park
Fort Wayne IN 46825-6716
Phone: (260) 471-9263
Fax: (260) 471-9264
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 6301013451 | Michigan |
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X |
Profile Details
| NPI number | 1891954665 |
|---|---|
| LBN Legal business name | Miller, Rachel Mae |
| Credentials | MA, BCBA, LLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 5th, 2008 |
| Last updated | Dec 12th, 2014 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891954665 | NPPES |
| Other | 1-05-2440 | BCBA CERTIFICATE |
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