Provider Demographics
NPI:1871983098
Name:DRESDEN, RACHEL (BCBA)
Entity type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:
Last Name:DRESDEN
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 1:2583 SUNNYKNOLL AVE
Mailing Address - Street 2:
Mailing Address - City:BERKLEY
Mailing Address - State:MI
Mailing Address - Zip Code:48072-1530
Mailing Address - Country:US
Mailing Address - Phone:734-355-2833
Mailing Address - Fax:
Practice Address - Street 1:2583 SUNNYKNOLL AVE
Practice Address - Street 2:
Practice Address - City:BERKLEY
Practice Address - State:MI
Practice Address - Zip Code:48072-1530
Practice Address - Country:US
Practice Address - Phone:734-355-2833
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-26
Last Update Date:2015-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI1-14-17088103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst