Rachel E Bakker
Individual provider Active NPI Behavior Technician · Alma, MI
NPI 1881402964 · NPPES record last updated Dec 20, 2024
Key facts
- NPI
- 1881402964
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- 106S00000X (MI)
- Practice address
- 4071 Sanctuary Dr
Alma, MI 48801-9234 - Phone
- (989) 289-2100
- NPI assigned
- Dec 20, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 106S00000X | MI | MD | Behavior Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | 106S00000X | MI | Yes |
Addresses
Primary practice location
4071 Sanctuary Dr
Alma, MI 48801-9234
Mailing address
4071 Sanctuary Dr
Alma, MI 48801-9234
Phone (989) 289-2100
Other providers in Alma, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 20, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.