Provider Demographics
NPI:1538412432
Name:BERMAN, RACHEL L (MS, BCBA)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:L
Last Name:BERMAN
Suffix:
Gender:F
Credentials:MS, BCBA
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:L
Other - Last Name:WEITZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS BCBA
Mailing Address - Street 1:136 GRANDVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:MONSEY
Mailing Address - State:NY
Mailing Address - Zip Code:10952-1415
Mailing Address - Country:US
Mailing Address - Phone:646-671-5404
Mailing Address - Fax:
Practice Address - Street 1:136 GRANDVIEW AVE
Practice Address - Street 2:
Practice Address - City:MONSEY
Practice Address - State:NY
Practice Address - Zip Code:10952-1415
Practice Address - Country:US
Practice Address - Phone:845-362-1022
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-17
Last Update Date:2021-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst