Provider Demographics
NPI:1740793488
Name:RICE, RATASHA ROMELLE (RBT)
Entity Type:Individual
Prefix:
First Name:RATASHA
Middle Name:ROMELLE
Last Name:RICE
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:5416 16TH AVE
Mailing Address - Street 2:
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20782-3444
Mailing Address - Country:US
Mailing Address - Phone:855-255-5270
Mailing Address - Fax:855-513-1069
Practice Address - Street 1:13630 COLGATE WAY APT 731
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20904-7417
Practice Address - Country:US
Practice Address - Phone:843-995-8012
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-15
Last Update Date:2017-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDRBT-17-42589106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician