Basic Information
| Provider Information | |||||||||
| NPI: | 1225599046 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | CHOI | ||||||||
| FirstName: | RACHEL | ||||||||
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| Credential: | M.A., BCBA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 27777 INKSTER RD STE 100 | ||||||||
| Address2: | |||||||||
| City: | FARMINGTON HILLS | ||||||||
| State: | MI | ||||||||
| PostalCode: | 483345326 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2482990030 | ||||||||
| FaxNumber: | 2489121566 | ||||||||
| Practice Location | |||||||||
| Address1: | 151 KALMUS DR STE L1 | ||||||||
| Address2: | |||||||||
| City: | COSTA MESA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 926265978 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2482990030 | ||||||||
| FaxNumber: | 2489121566 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/26/2019 | ||||||||
| LastUpdateDate: | 03/26/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 103K00000X | 1-16-22981 | Y | Behavioral Health & Social Service Providers | Behavioral Analyst |
No ID Information.