Individual
RACHEL ELIZABETH RIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
175 GWINNETT DR STE 300, LAWRENCEVILLE, GA 30046-8444
(678) 209-2355
Mailing address
458 GLENDALE CT, STONE MOUNTAIN, GA 30087-2716
(470) 955-8435
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-43861
GA
106E00000X
Assistant Behavior Analyst
0-20-10746
GA
Other
Enumeration date
04/23/2020
Last updated
09/08/2020
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