Most Relevant Information
Provider Data
| NPI Number: | 1003355546 |
| Provider Name: | RACHAEL L. CONNOLLY |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: | 7401002440 |
Most Important Dates
| Enumeration Date: | 02/16/2017 |
| Last Updated: | 05/14/2024 |
Provider Practice Location
1975 W M 21
OWOSSO
MI
488678163
Practice Location Phone/Fax
| Phone: | 8103735276 |
| Fax: |
Provider Mailing Location
136 HELLE BLVD APT 115
DUNDEE
MI
481319414
Provider Mailing Phone/Fax
| Phone: | 9164706105 |
| Fax: |