Individual
BENJAMIN RAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
6505 SHILOH RD STE 100, ALPHARETTA, GA 30005-1645
(678) 648-7644
Mailing address
6505 SHILOH RD STE 100, ALPHARETTA, GA 30005-1645
(678) 648-7644
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
17-44170
GA
Other
Enumeration date
04/30/2020
Last updated
04/30/2020
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