Provider Demographics
NPI:1427333061
Name:CAVALARI, RACHEL N S (PH D, BCBA-D)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:N S
Last Name:CAVALARI
Suffix:
Gender:F
Credentials:PH D, BCBA-D
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:
Other - Last Name:STRAUB
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 6000
Mailing Address - Street 2:INSTITUTE FOR CHILD DEVELOPMENT
Mailing Address - City:BINGHAMTON
Mailing Address - State:NY
Mailing Address - Zip Code:13902-6000
Mailing Address - Country:US
Mailing Address - Phone:607-777-2829
Mailing Address - Fax:607-777-6981
Practice Address - Street 1:4400 VESTAL PARKWAY EAST BINGHAMTON UNIVERSITY
Practice Address - Street 2:INSTITUTE FOR CHILD DEVELOPMENT
Practice Address - City:BINGHAMTON
Practice Address - State:NY
Practice Address - Zip Code:13902-6000
Practice Address - Country:US
Practice Address - Phone:607-777-2829
Practice Address - Fax:607-777-6981
Is Sole Proprietor?:No
Enumeration Date:2011-10-14
Last Update Date:2014-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
NY020295-1103T00000X
NY000386103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst