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NPI Code Detail

MEDICARE: RACHEL BUZENBERG BCBA

MEDICARE: RACHEL BUZENBERG BCBA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst1-24-76856GA

General Provider Information

NPI Number : 1265957856
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEL BUZENBERG BCBA
Provider Business Mailing Address
First Line : 3300 ROSWELL RD NW UNIT 4411
Second Line :
City : ATLANTA
State : GA
Zip : 30305-3897
Country : US
Telephone Number : 734-812-9329
Fax Number :
Provider Business Practice Location Address
First Line : 11560 GREAT OAKS WAY STE 300
Second Line :
City : ALPHARETTA
State : GA
Zip : 30022-2453
Country : US
Telephone Number : 404-474-0040
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/04/2017
Last Update Date : 10/25/2024

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Directions to “ RACHEL BUZENBERG BCBA” Practice Location

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