Provider Demographics
NPI:1427669050
Name:GUNSBURG, RACHEL (MS ED, BCBA)
Entity type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:
Last Name:GUNSBURG
Suffix:
Gender:F
Credentials:MS ED, BCBA
Other - Prefix:MRS
Other - First Name:RACHEL
Other - Middle Name:
Other - Last Name:BAMBERGER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS ED, BCBA
Mailing Address - Street 1:58 BIRCH ST
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08701-4701
Mailing Address - Country:US
Mailing Address - Phone:732-987-6006
Mailing Address - Fax:
Practice Address - Street 1:873 VINE AVE
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08701-5351
Practice Address - Country:US
Practice Address - Phone:732-987-6006
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-17
Last Update Date:2020-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst