Provider Demographics
NPI:1184150856
Name:CIANCI, REBEKAH (BCBA, LPC)
Entity type:Individual
Prefix:
First Name:REBEKAH
Middle Name:
Last Name:CIANCI
Suffix:
Gender:F
Credentials:BCBA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1021 THALIA ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70130-4134
Mailing Address - Country:US
Mailing Address - Phone:630-816-2004
Mailing Address - Fax:
Practice Address - Street 1:1021 THALIA ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70130-4134
Practice Address - Country:US
Practice Address - Phone:630-816-2004
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-02
Last Update Date:2025-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA7114101YM0800X
LAL-261103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health