Provider Demographics
NPI:1760795058
Name:FARBER, RACHEL SHAINA (MS, BCBA)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:SHAINA
Last Name:FARBER
Suffix:
Gender:F
Credentials:MS, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:177 BIGELOW ST
Mailing Address - Street 2:
Mailing Address - City:BRIGHTON
Mailing Address - State:MA
Mailing Address - Zip Code:02135-1742
Mailing Address - Country:US
Mailing Address - Phone:561-827-6414
Mailing Address - Fax:
Practice Address - Street 1:177 BIGELOW ST
Practice Address - Street 2:
Practice Address - City:BRIGHTON
Practice Address - State:MA
Practice Address - Zip Code:02135-1742
Practice Address - Country:US
Practice Address - Phone:561-827-6414
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-15
Last Update Date:2013-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst