Individual
RAYNE TROUWBORST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8072 GREEN BUD LN APT 21, GLEN BURNIE, MD 21061-5161
(732) 513-9164
Mailing address
8072 GREEN BUD LN APT 21, GLEN BURNIE, MD 21061-5161
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-49852
MD
106S00000X
Behavior Technician
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—
Other
Enumeration date
09/26/2019
Last updated
05/18/2021
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