| Provider / Organization | NPI | Date Certified |
|---|---|---|
| NISHITA RAGHU RAO | 1174280465 | 2021-11-21 |
Nishita Raghu Rao is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1174280465. Registration indicates Nishita Raghu Rao is a provider of services with a specialization in Behavioral Health & Social Service Providers, Behavior Technician (Behavior Technician, Behavioral Health & Social Service Providers) (Behavior Technician, )
| Entity Type | Individual |
| Provider Name | Nishita Raghu Rao |
| Practice Office Address | 27777 INKSTER RD STE 100 FARMINGTON HILL, MI US |
| Practice Office Telephone | 2484364400 |
| Mailing Address | 27777 INKSTER RD STE 100 FARMINGTON HILLS, MI 483345312 US |
| Business Telephone | 2484364400 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 1025 Atlantic Ave Ste 101 | Alameda, CA 945011188 | 6075420010 |
| Code | Practice | License No State |
|---|---|---|
| 106S00000X PRIMARY | Behavioral Health & Social Service Providers Behavior Technician Behavior Technician Behavioral Health & Social Service Providers Behavior Technician |