Provider Demographics
NPI:1518477959
Name:RACHAEL SCHNEIDER LICENSED BEHAVIOR ANALYST PLLC
Entity type:Organization
Organization Name:RACHAEL SCHNEIDER LICENSED BEHAVIOR ANALYST PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BONNIE
Authorized Official - Middle Name:
Authorized Official - Last Name:CARLSEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-241-6780
Mailing Address - Street 1:1333 S MAYFLOWER AVE STE 220
Mailing Address - Street 2:
Mailing Address - City:MONROVIA
Mailing Address - State:CA
Mailing Address - Zip Code:91016-5239
Mailing Address - Country:US
Mailing Address - Phone:855-295-3276
Mailing Address - Fax:818-241-6823
Practice Address - Street 1:550 ORCHARD PARK RD STE B105
Practice Address - Street 2:
Practice Address - City:WEST SENECA
Practice Address - State:NY
Practice Address - Zip Code:14224-2655
Practice Address - Country:US
Practice Address - Phone:855-295-3276
Practice Address - Fax:818-241-6823
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AUTISM LEARNING PARTNERS, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-10-11
Last Update Date:2025-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty