Provider Demographics
NPI:1629312442
Name:ADLER, RACHEL ARIELLA (BCBA)
Entity Type:Individual
Prefix:MS
First Name:RACHEL
Middle Name:ARIELLA
Last Name:ADLER
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 1:2731 4TH ST
Mailing Address - Street 2:#D
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90405-4272
Mailing Address - Country:US
Mailing Address - Phone:818-389-4446
Mailing Address - Fax:
Practice Address - Street 1:65 ENTERPRISE
Practice Address - Street 2:
Practice Address - City:ALISO VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92656-2705
Practice Address - Country:US
Practice Address - Phone:866-522-4145
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-11-16
Last Update Date:2012-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst