Organization
RAE 6 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEN CELESKI BHT (EXECUTIVE DIRECTOR)
(623) 218-3069
Entity
Organization
Contact information
Practice address
10209 W RIVERSIDE AVE, TOLLESON, AZ 85353-8304
(480) 616-1409
Mailing address
10209 W RIVERSIDE AVE, TOLLESON, AZ 85353-8304
(480) 616-1409
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
175T00000X
Peer Specialist
—
—
225CA2500X
Assistive Technology Supplier Rehabilitation Counselor
Primary
—
—
251300000X
Local Education Agency (LEA)
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
06/19/2023
Last updated
01/22/2024
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