Provider Demographics
NPI:1508491135
Name:HUSK, RACHEL MAY (MED, BCBA)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:MAY
Last Name:HUSK
Suffix:
Gender:F
Credentials:MED, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:104 MARKET PATH
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:KY
Mailing Address - Zip Code:40324-1579
Mailing Address - Country:US
Mailing Address - Phone:502-791-6623
Mailing Address - Fax:502-427-0854
Practice Address - Street 1:104 MARKET PATH
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:KY
Practice Address - Zip Code:40324-1579
Practice Address - Country:US
Practice Address - Phone:502-791-6623
Practice Address - Fax:502-427-0854
Is Sole Proprietor?:No
Enumeration Date:2020-03-04
Last Update Date:2021-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYRBT-18-54994103K00000X
103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst