Individual
AUDREY NICOLE RAYNOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA AND LMSW
Contact information
Practice address
5009 CASCADE POOLS AVE, LAS VEGAS, NV 89131-3626
(210) 993-0212
Mailing address
168 COMMONS DR, ENTERPRISE, AL 36330-1648
(210) 993-0212
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-22-60738
—
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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