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General NPI Number Information
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NPI Number | 1124530373
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Entity Type | Individual
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Provider Name | RACHEL THEYS MS.ED, BCBA, LABA
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Gender | Female
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Dates
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Enumeration Date | 10/27/2017
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Last Update Date | 11/02/2025
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Provider Practice Location Address
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Address Line | 35 WALNUT ST.
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City | WELLESLEY HILLS
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State | MA
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Zip | 02481-2101
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Country | US
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Telephone | 617-631-4193
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Fax | 617-631-4193
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Provider Business Mailing Address
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Address Line | 130 LIBERTY ST STE 13A
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City | BROCKTON
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State | MA
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Zip | 02301-7511
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Country | US
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Telephone | 617-957-6451
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Fax | 508-857-5893
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 000001867
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License Number State | MA
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