Healthcare Provider Details

I. General information

NPI: 1154573582
Provider Name (Legal Business Name): KATHERINE ELEANOR RAUSCHER BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/16/2008
Last Update Date: 10/16/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

616 HOLT RUN CT
NASHVILLE TN
37211-8571
US

IV. Provider business mailing address

616 HOLT RUN CT
NASHVILLE TN
37211-8571
US

V. Phone/Fax

Practice location:
  • Phone: 615-442-7988
  • Fax:
Mailing address:
  • Phone: 615-442-7988
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-06-3074
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: