Individual provider · NPI-1
Rachel Jo-Ann Basela
Behavior Technician · Detroit, MI
NPI number1780353672
StatusActive
Last updated in NPPESOct 24, 2022
Details
- NPI
- 1780353672
- Entity type
- Individual (NPI-1)
- Name
- Rachel Jo-Ann Basela
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 13, 2021
- Certification date
- Oct 24, 2022
- Last updated
- Oct 24, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
| 156F00000X | Technician/Technologist | – | – |
Practice location
7375 Woodward Ave Ste 2800Detroit, MI 48202-3157
Phone 313-710-8744 · Fax 855-568-2494
Mailing address
7375 Woodward Ave Ste 2800Detroit, MI 48202-3157
Phone 313-710-8744 · Fax 855-568-2494
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