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Individual
AUDREY NICOLE RAYNOR
Active
Individual
AUDREY NICOLE RAYNOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA AND LMSW
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-22-60738
NULL
103K00000X
Behavior Analyst
5249
TX
1041C0700X
Clinical Social Worker
Primary
12532-M
NV
Other
Enumeration date
06/23/2018
Last updated
08/20/2025
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