Provider Demographics
NPI:1497243760
Name:SAILER, RACHEL ANGEL
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:ANGEL
Last Name:SAILER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1521 WATT AVE
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95864-2961
Mailing Address - Country:US
Mailing Address - Phone:916-827-7032
Mailing Address - Fax:
Practice Address - Street 1:1521 WATT AVE
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95864-2961
Practice Address - Country:US
Practice Address - Phone:916-827-7032
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-23
Last Update Date:2018-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAD6610538OtherDMV
CA$$$$$$$$$OtherSOCIAL SECURITY