Individual
RAINA HERZOG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3179 NE FOLLETT ST, ROSEBURG, OR 97470-6627
(541) 654-9264
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
OR
Other
Enumeration date
04/09/2026
Last updated
04/09/2026
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