Individual
FAITH JAMES RAITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1230 LIBERTY BANK LN STE 330, LOUISVILLE, KY 40222-5756
(708) 428-3974
Mailing address
1230 LIBERTY BANK LN STE 330, LOUISVILLE, KY 40222-5756
(708) 428-3974
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-327727
KY
Other
Enumeration date
03/07/2024
Last updated
03/07/2024
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