Individual
RACHEL LOFTUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
390 BLACK MEADOW RD, CHESTER, NY 10918-2222
(845) 421-0341
Mailing address
390 BLACK MEADOW RD, CHESTER, NY 10918-2222
(845) 421-0341
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
000572-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000572-1
STATE LICENSE NUMBER
NY
01
—
1-14-9574
BCBA CERTIFICATION NUMBER
NY
01
—
8801582
STATE CERTIFICATE NUMBER
NY
Enumeration date
04/01/2015
Last updated
04/01/2015
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