Individual
RACHEL MIERZWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
551 EASTPORT CENTRE DR, VALPARAISO, IN 46383-2898
(219) 255-2454
Mailing address
3051 GUINEA HILL CT, FORT COLLINS, CO 80524-2272
(219) 614-3990
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
RBT-18-63447
CO
106S00000X
Behavior Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-20-44654
BOARD CERTIFICATION
—
Enumeration date
08/30/2018
Last updated
08/09/2023
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