Healthcare Provider Details

I. General information

NPI: 1033998927
Provider Name (Legal Business Name): RAYNA MARSLAND
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/28/2023
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1341STRAWBERRY CREEK PRIVATE RD
BEDFORD WY
83112-8311
US

IV. Provider business mailing address

PO BOX 955
THAYNE WY
83127-0955
US

V. Phone/Fax

Practice location:
  • Phone: 719-289-8156
  • Fax:
Mailing address:
  • Phone: 719-289-8156
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: