Individual
RACHEL VISSICHELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4602 E UNIVERSITY DR STE 130, PHOENIX, AZ 85034-7430
(888) 754-0398
Mailing address
40613 N REPUBLIC WAY, ANTHEM, AZ 85086-1588
(516) 660-2653
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
05/29/2020
Last updated
07/26/2021
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