MEDICARE: RACHEL AMANDA AUSTIN BCBA, LBA

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
1	106S00000X	Behavior Technician	RBT-17-35028	TX
2	103K00000X	Behavior Analyst	4893	TX

General Provider Information

NPI Number	:	1487261244
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEL AMANDA AUSTIN BCBA, LBA

Provider Business Mailing Address
First Line	:	1000 SAN MARCOS ST UNIT 313
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78702-2667
Country	:	US
Telephone Number	:	914-582-8527
Fax Number	:

Provider Business Practice Location Address
First Line	:	2500 W WILLIAM CANNON DR # 704
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78745-5257
Country	:	US
Telephone Number	:	914-582-8527
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/25/2020
Last Update Date	:	04/23/2026

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