Most Relevant Information
Provider Data
| NPI Number: | 1003559279 |
| Provider Name: | RACHEL KANTOR WEST NONE |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/15/2022 |
| Last Updated: | 04/18/2022 |
Provider Practice Location
7375 WOODWARD AVE STE 2800
DETROIT
MI
482023157
Practice Location Phone/Fax
| Phone: | 8889222843 |
| Fax: |
Provider Mailing Location
7375 WOODWARD AVE STE 2800
DETROIT
MI
482023157
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |