Provider Demographics
NPI:1972789576
Name:WHITE, RACHEL LYNN (PHD, BCBA-D, LBA)
Entity Type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:LYNN
Last Name:WHITE
Suffix:
Gender:F
Credentials:PHD, BCBA-D, LBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3723 SYCAMORE LOOP
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99504-4772
Mailing Address - Country:US
Mailing Address - Phone:817-707-7582
Mailing Address - Fax:
Practice Address - Street 1:13817 MALASPINA ST
Practice Address - Street 2:
Practice Address - City:EAGLE RIVER
Practice Address - State:AK
Practice Address - Zip Code:99577-7504
Practice Address - Country:US
Practice Address - Phone:907-301-5471
Practice Address - Fax:888-334-6321
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-14
Last Update Date:2019-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst