Individual
MS. KELCIE NOELANI RAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, BCBA, LBA
Contact information
Practice address
21191 VINELAND SQ, ASHBURN, VA 20147-5463
(808) 729-1706
Mailing address
21191 VINELAND SQ, ASHBURN, VA 20147-5463
(808) 729-1706
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
013303112
VA
103K00000X
Behavior Analyst
BA-347
HI
103K00000X
Behavior Analyst
BA61366827
WA
Other
Enumeration date
05/11/2016
Last updated
03/19/2024
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