Individual
RACHEL LANTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
412 JEFFERSON PKWY STE 202, LAKE OSWEGO, OR 97035-1252
(888) 428-3223
(323) 866-1881
Mailing address
41521 W 11 MILE RD, NOVI, MI 48375-1803
(248) 912-1640
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/06/2019
Last updated
06/01/2021
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