Provider Demographics
NPI:1568984649
Name:TORRANCE, RACHEL AVNER (MED, BCBA, COBA)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:AVNER
Last Name:TORRANCE
Suffix:
Gender:F
Credentials:MED, BCBA, COBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5061 STANSBURY DR
Mailing Address - Street 2:
Mailing Address - City:SOLON
Mailing Address - State:OH
Mailing Address - Zip Code:44139-1230
Mailing Address - Country:US
Mailing Address - Phone:216-469-8398
Mailing Address - Fax:
Practice Address - Street 1:5061 STANSBURY DR
Practice Address - Street 2:
Practice Address - City:SOLON
Practice Address - State:OH
Practice Address - Zip Code:44139-1230
Practice Address - Country:US
Practice Address - Phone:216-469-8398
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-11
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH161103K00000X
1-15-18298103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
No103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty