RAINEY ALLEN
Individual Provider (NPI-1)
Active
Behavior Technician
Provider Information
- NPI Number
1952225476- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 42144 VETERANS AVE, HAMMOND, LA, 704031427
- Phone
- (984) 500-3240
Specialties & Taxonomies
Behavior Technician
Primary License: LA #012832657
All Addresses
MAILING
996 ROYAL MARCO WAY
MARCO ISLAND, FL, 341451829