Rachel Bannister
Behavior Technician in Rochester, MN. Individual provider (NPI-1).
NPI number1164047593
StatusActive
Last updated in NPPESJun 11, 2020
Details
- NPI
- 1164047593
- Entity type
- Individual (NPI-1)
- Name
- Rachel Bannister
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 11, 2020
- Certification date
- Jun 11, 2020
- Last updated
- Jun 11, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
1470 Industrial Dr NwRochester, MN 55901-0700
Phone 507-322-7751
Mailing address
21 11th Ave NeRochester, MN 55906-4613
Phone 507-491-2302
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