Provider Demographics
NPI:1326630583
Name:WESNOFSKE, RACHAEL (BCBA)
Entity Type:Individual
Prefix:
First Name:RACHAEL
Middle Name:
Last Name:WESNOFSKE
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1537 FRANKLIN RD STE 100
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-6842
Mailing Address - Country:US
Mailing Address - Phone:298-996-7776
Mailing Address - Fax:
Practice Address - Street 1:1537 FRANKLIN RD STE 100
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-6842
Practice Address - Country:US
Practice Address - Phone:629-899-6777
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-09
Last Update Date:2022-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst