Provider Demographics
NPI:1649814237
Name:PINKERTON, RACHEL MARIE (RBT)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:MARIE
Last Name:PINKERTON
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 BETZ RD APT 125
Mailing Address - Street 2:
Mailing Address - City:CHENEY
Mailing Address - State:WA
Mailing Address - Zip Code:99004-9181
Mailing Address - Country:US
Mailing Address - Phone:360-831-2186
Mailing Address - Fax:
Practice Address - Street 1:157 S HOWARD ST STE 310
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99201-4421
Practice Address - Country:US
Practice Address - Phone:800-781-5536
Practice Address - Fax:208-620-3985
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-06
Last Update Date:2019-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARBT-19-104996106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician