Rebecca Jean Gardner

Individual provider Active NPI Behavior Analyst · Strasburg, VA

NPI 1619626348 · NPPES record last updated Mar 21, 2022

Key facts

NPI
1619626348
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
License
RBT-18-54064 (VA)
Practice address
365 Branch St
Strasburg, VA 22657-1921
Phone
(703) 489-4418
NPI assigned
Mar 21, 2022
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
RBT-18-54064VAMDBehavioral Analyst

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X RBT-18-54064 VA Yes

Addresses

Primary practice location

365 Branch St
Strasburg, VA 22657-1921

Mailing address

365 Branch St
Strasburg, VA 22657-1921
Phone (703) 489-4418

Other providers in Strasburg, VA

All providers in Strasburg, VA · Behavior Analyst in Virginia

Sources for this page

Verify at the official NPI Registry.