Individual
RACHAEL SUSAN NYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
912 NE KELLY AVE, GRESHAM, OR 97030-5629
(480) 608-5210
Mailing address
14435 S 48TH ST APT 2138, PHOENIX, AZ 85044-6451
(406) 596-1098
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
ABA-B-10260793
OR
Other
Enumeration date
11/11/2024
Last updated
11/11/2025
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