Individual
AMBER RAIKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4443 BASS PL N, JACKSONVILLE, FL 32210-6000
(904) 465-0090
Mailing address
PO BOX 10827, TALLAHASSEE, FL 32302-2827
(850) 521-0242
(850) 521-1973
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-72638
FL
103K00000X
Behavior Analyst
—
—
Other
Enumeration date
08/13/2020
Last updated
05/03/2024
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