Provider Demographics
NPI:1558618926
Name:RAEMER, AMBER RENE (BCBA)
Entity Type:Individual
Prefix:MRS
First Name:AMBER
Middle Name:RENE
Last Name:RAEMER
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:12777 VALLEY VIEW ST STE 121
Mailing Address - Street 2:
Mailing Address - City:GARDEN GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:92845-2521
Mailing Address - Country:US
Mailing Address - Phone:714-337-6484
Mailing Address - Fax:855-213-2184
Practice Address - Street 1:12777 VALLEY VIEW ST STE 121
Practice Address - Street 2:
Practice Address - City:GARDEN GROVE
Practice Address - State:CA
Practice Address - Zip Code:92845-2521
Practice Address - Country:US
Practice Address - Phone:714-337-6484
Practice Address - Fax:855-213-2184
Is Sole Proprietor?:No
Enumeration Date:2012-08-05
Last Update Date:2024-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1-10-6894103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst