Provider Demographics
NPI:1144774282
Name:MUELLER, REBECCA E (MA, BCBA, COBA)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:E
Last Name:MUELLER
Suffix:
Gender:F
Credentials:MA, BCBA, COBA
Other - Prefix:
Other - First Name:REBECCA
Other - Middle Name:
Other - Last Name:GALLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:150 HOLLY LN
Mailing Address - Street 2:
Mailing Address - City:CHAGRIN FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44022-4198
Mailing Address - Country:US
Mailing Address - Phone:216-202-0785
Mailing Address - Fax:440-557-5236
Practice Address - Street 1:150 HOLLY LN
Practice Address - Street 2:
Practice Address - City:CHAGRIN FALLS
Practice Address - State:OH
Practice Address - Zip Code:44022-4198
Practice Address - Country:US
Practice Address - Phone:216-202-0785
Practice Address - Fax:440-557-5236
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-05
Last Update Date:2021-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHCOBA.00368OtherBOARD CERTIFICATION