Individual
ANASTAZIA RAYNE RAYMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1220 ASHLEY CIR, BOWLING GREEN, KY 42104-3338
(270) 936-7472
Mailing address
1220 ASHLEY CIR, BOWLING GREEN, KY 42104-3338
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
293537
KY
106S00000X
Behavior Technician
RBT-19-107702
KY
Other
Enumeration date
06/24/2020
Last updated
07/31/2024
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