Wallace, Rachel Jane

Wallace, Rachel Jane is an individual health care provider with primary practice located at 1720 Bassett Dr , Mankato MN 56001-6569. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Wallace, Rachel Jane can be contacted via phone (507) 565-0150.

Contact Information

Primary practice address
1720 Bassett Dr Mankato MN 56001-6569
Phone: (507) 565-0150
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1619751377
LBN Legal business name Wallace, Rachel Jane
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2023
Last updated Aug 23rd, 2023 - about 3 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.

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