Most Relevant Information
Provider Data
| NPI Number: | 1003456971 |
| Provider Name: | MICHAELA RAFF |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/08/2020 |
| Last Updated: | 01/08/2020 |
Provider Practice Location
304 N STATE ST
UKIAH
CA
954824420
Practice Location Phone/Fax
| Phone: | 8662062008 |
| Fax: | 8663171665 |
Provider Mailing Location
1861 ANTLER RD
UKIAH
CA
954823602
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |