Healthcare Provider Details

I. General information

NPI: 1336836634
Provider Name (Legal Business Name): ABIGAIL MARIE RAINS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/18/2023
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5420 W 151ST ST
LEAWOOD KS
66224-8713
US

IV. Provider business mailing address

10781 NOLAND CT
LENEXA KS
66210-3736
US

V. Phone/Fax

Practice location:
  • Phone: 913-219-5696
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: