Basic Information
| Provider Information | |||||||||
| NPI: | 1235667742 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BARRON | ||||||||
| FirstName: | RACHEL | ||||||||
| MiddleName: | SARA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1301 E ORANGEWOOD AVE | ||||||||
| Address2: | |||||||||
| City: | ANAHEIM | ||||||||
| State: | CA | ||||||||
| PostalCode: | 928056807 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8002491266 | ||||||||
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| Practice Location | |||||||||
| Address1: | 418 CENTRE ST UNIT C | ||||||||
| Address2: | |||||||||
| City: | BOSTON | ||||||||
| State: | MA | ||||||||
| PostalCode: | 021305197 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8007498507 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/28/2017 | ||||||||
| LastUpdateDate: | 07/21/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 01/14/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 227900000X | N | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Registered | 103K00000X | Y | Behavioral Health & Social Service Providers | Behavioral Analyst |
No ID Information.