Individual
ANGELA GAYLE RAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6004 WALDEN DR, KNOXVILLE, TN 37919-6370
(865) 766-5775
Mailing address
5554 RESEDA BLVD STE 203, TARZANA, CA 91356-6212
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/15/2021
Last updated
12/15/2021
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