Provider Demographics
NPI:1669980991
Name:FERRER, REBECCA B (BCBA, NCC)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:B
Last Name:FERRER
Suffix:
Gender:F
Credentials:BCBA, NCC
Other - Prefix:
Other - First Name:REBECCA
Other - Middle Name:A
Other - Last Name:BARON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NCC
Mailing Address - Street 1:1651 OLD MEADOW RD STE 600
Mailing Address - Street 2:
Mailing Address - City:MC LEAN
Mailing Address - State:VA
Mailing Address - Zip Code:22102-4389
Mailing Address - Country:US
Mailing Address - Phone:703-564-1662
Mailing Address - Fax:
Practice Address - Street 1:1651 OLD MEADOW RD STE 600
Practice Address - Street 2:
Practice Address - City:MC LEAN
Practice Address - State:VA
Practice Address - Zip Code:22102-4389
Practice Address - Country:US
Practice Address - Phone:703-564-1662
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-22
Last Update Date:2018-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst