Provider Demographics
NPI:1740620665
Name:HAMBERGER, RACHEL (BCBA)
Entity type:Individual
Prefix:MS
First Name:RACHEL
Middle Name:
Last Name:HAMBERGER
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4500 S FOUR MILE RUN DR APT 805
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22204-3576
Mailing Address - Country:US
Mailing Address - Phone:703-400-1033
Mailing Address - Fax:
Practice Address - Street 1:4500 S FOUR MILE RUN DR APT 805
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22204-3576
Practice Address - Country:US
Practice Address - Phone:703-400-1033
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-25
Last Update Date:2013-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0133000122103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst