Provider Demographics
NPI:1457718371
Name:ROMANS, RACHEL A (MED, BCBA, LBA)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:A
Last Name:ROMANS
Suffix:
Gender:F
Credentials:MED, BCBA, LBA
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:ANN
Other - Last Name:KAKACH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MED, BCBA, LBA
Mailing Address - Street 1:343 NW 49TH ST
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98107-3544
Mailing Address - Country:US
Mailing Address - Phone:952-457-2299
Mailing Address - Fax:
Practice Address - Street 1:4746 11TH AVE NE
Practice Address - Street 2:SUITE 102
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98105-4657
Practice Address - Country:US
Practice Address - Phone:952-457-2299
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-01-22
Last Update Date:2018-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst