# RAVEN NINO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1558198374
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103K00000X | Behavior Analyst | 1-25-84164 | IN | Yes |
| 106E00000X | Assistant Behavior Analyst | 0-25-15786 | NULL | — |

## Other

- **Enumeration date:** 09/16/2024
- **Last updated:** 09/16/2025