National Provider Identifier
Rachel Lynn Thibault, BCBA, LBA
Rachel Lynn Thibault, BCBA, LBA is listed in the NPPES registry with a primary specialty of Behavior Analyst in Rochester, NY and a listed phone number of (718) 215-5311.
Profile Overview
- NPI
- 1487311957
- Provider Type
- Individual
- Primary Specialty
- Behavior Analyst
- Enumeration Date
- November 19, 2021
- Last Updated
- November 19, 2021
Practice Location
- 418 Macintosh Dr
- Rochester, NY 14626-4416
Phone: (718) 215-5311
Specialties
- Behavior Analyst (103K00000X)
Full Record
- NPI
- 1487311957
- Entity Type
- Individual
- Last Name
- Thibault
- First Name
- Rachel
- Middle Name
- Lynn
- Credential
- BCBA, LBA
- Mailing Street Address
- 418 Macintosh Dr
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14626-4416
- Mailing Country
- US
- Mailing Phone
- (718) 215-5311
- Mailing Fax
- (718) 865-5165
- Practice Street Address
- 418 Macintosh Dr
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14626-4416
- Practice Country
- US
- Practice Phone
- (718) 215-5311
- Practice Fax
- (718) 865-5165
- Enumeration Date
- November 19, 2021
- Last Updated
- November 19, 2021
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- November 19, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Behavior Analyst (103K00000X)