Individual
RAE MULLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
570 W CHEYENNE AVE STE 10, NORTH LAS VEGAS, NV 89030-3931
(702) 633-5096
Mailing address
4643 OBSERVED ST, NORTH LAS VEGAS, NV 89031-4550
(586) 216-4732
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-285566
OH
Other
Enumeration date
11/29/2023
Last updated
04/09/2026
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