Provider Demographics
NPI:1982077582
Name:KALLIN, RACHEL ANN (EDD, BCBA)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:ANN
Last Name:KALLIN
Suffix:
Gender:F
Credentials:EDD, BCBA
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:ANN
Other - Last Name:PASQUERILLA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:899 FROST RD
Mailing Address - Street 2:
Mailing Address - City:STREETSBORO
Mailing Address - State:OH
Mailing Address - Zip Code:44241-4355
Mailing Address - Country:US
Mailing Address - Phone:330-402-4158
Mailing Address - Fax:
Practice Address - Street 1:2132 CASE PKWY
Practice Address - Street 2:KIDSLINK NEUROBEHAVIORAL CENTER
Practice Address - City:TWINSBURG
Practice Address - State:OH
Practice Address - Zip Code:44087-4300
Practice Address - Country:US
Practice Address - Phone:330-963-8600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-11-04
Last Update Date:2023-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH140103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst