Healthcare Provider Details

I. General information

NPI: 1891663704
Provider Name (Legal Business Name): KINDALINN RINER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/23/2025
Last Update Date: 12/01/2025
Certification Date: 12/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2730 ROZZELLES FERRY RD # B
CHARLOTTE NC
28208-3233
US

IV. Provider business mailing address

350 FAIRWAY DR STE 101
DEERFIELD BEACH FL
33441-1834
US

V. Phone/Fax

Practice location:
  • Phone: 888-880-9270
  • Fax: 954-342-0273
Mailing address:
  • Phone: 888-880-9270
  • Fax: 954-342-0273

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: