Most Relevant Information
Provider Data
| NPI Number: | 1003537481 |
| Provider Name: | RACHEL PEYSAKHOVA |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/06/2022 |
| Last Updated: | 09/06/2022 |
Provider Practice Location
28000 WOODWARD AVE
ROYAL OAK
MI
480670960
Practice Location Phone/Fax
| Phone: | 2484401513 |
| Fax: |
Provider Mailing Location
28000 WOODWARD AVE
ROYAL OAK
MI
480670960
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |