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NPI Code Detail

MEDICARE: MS. RACHEL ARIELLA ADLER BCBA

MEDICARE: MS. RACHEL ARIELLA ADLER 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 Analyst

General Provider Information

NPI Number : 1629312442
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. RACHEL ARIELLA ADLER BCBA
Provider Business Mailing Address
First Line : 2731 4TH ST
Second Line : #D
City : SANTA MONICA
State : CA
Zip : 90405-4272
Country : US
Telephone Number : 818-389-4446
Fax Number :
Provider Business Practice Location Address
First Line : 65 ENTERPRISE
Second Line :
City : ALISO VIEJO
State : CA
Zip : 92656-2705
Country : US
Telephone Number : 866-522-4145
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/16/2012
Last Update Date : 11/16/2012

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