Provider Demographics
NPI:1841780814
Name:ESLINGER, REBECCA ALANE (BA)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:ALANE
Last Name:ESLINGER
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:408 DAVIS RD
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44907-1122
Mailing Address - Country:US
Mailing Address - Phone:614-403-2987
Mailing Address - Fax:
Practice Address - Street 1:775 LEXINGTON AVE STE M
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:OH
Practice Address - Zip Code:44907-1906
Practice Address - Country:US
Practice Address - Phone:567-560-2834
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-15
Last Update Date:2018-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician