Provider Demographics
NPI:1275318115
Name:GUTHMAN, RACHEL AMELIA LOUISE (MA, BCBA, LBA)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:AMELIA LOUISE
Last Name:GUTHMAN
Suffix:
Gender:F
Credentials:MA, BCBA, LBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 S FARRAR DR STE 107
Mailing Address - Street 2:
Mailing Address - City:CAPE GIRARDEAU
Mailing Address - State:MO
Mailing Address - Zip Code:63701-4912
Mailing Address - Country:US
Mailing Address - Phone:573-841-8837
Mailing Address - Fax:
Practice Address - Street 1:106 S FARRAR DR STE 107
Practice Address - Street 2:
Practice Address - City:CAPE GIRARDEAU
Practice Address - State:MO
Practice Address - Zip Code:63701-4912
Practice Address - Country:US
Practice Address - Phone:573-841-8837
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-29
Last Update Date:2025-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2025044396103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst