Raini Staudacher-Jacobs

NPI #1023759172 in Rochester, Minnesota

Provider Information

NPI Number: 1023759172
Entity Type: Individual
Name: Raini Staudacher-Jacobs
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Apr 5, 2022
Last Updated: Apr 5, 2022

Practice Location

Address: 3101 SUPERIOR DR NW
City: Rochester
State: Minnesota
ZIP Code: 55901-1993
Phone: (507) 884-5761

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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