Provider Demographics
NPI:1841726924
Name:GAYLE, RACHEL LAUREN (MS ED BCBA)
Entity type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:LAUREN
Last Name:GAYLE
Suffix:
Gender:F
Credentials:MS ED BCBA
Other - Prefix:MS
Other - First Name:RACHEL
Other - Middle Name:LAUREN
Other - Last Name:ORNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2910 THE ALAMEDA
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21218-3730
Mailing Address - Country:US
Mailing Address - Phone:610-428-1661
Mailing Address - Fax:
Practice Address - Street 1:2910 THE ALAMEDA
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21218-3730
Practice Address - Country:US
Practice Address - Phone:610-428-1661
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-10
Last Update Date:2017-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD1-16-23762103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst