Provider Demographics
NPI:1285143909
Name:METRAS, RACHEL (BCBA)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:METRAS
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:54 CASTLEGATE DR
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01129-1296
Mailing Address - Country:US
Mailing Address - Phone:941-301-1015
Mailing Address - Fax:
Practice Address - Street 1:1441 MAIN ST STE 900
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01103-1433
Practice Address - Country:US
Practice Address - Phone:603-689-5825
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-26
Last Update Date:2017-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1-17-27711103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst