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General NPI Number Information
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NPI Number | 1629526108
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Entity Type | Individual
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Provider Name | REBECCA RAYNOHA
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Gender | Female
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Dates
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Enumeration Date | 09/14/2016
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Last Update Date | 07/08/2025
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Provider Practice Location Address
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Address Line | 7375 PRAIRIE FALCON RD STE 150
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City | LAS VEGAS
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State | NV
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Zip | 89128-0810
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Country | US
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Telephone | 702-329-0125
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Fax | 725-269-1215
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Provider Business Mailing Address
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Address Line | 7375 PRAIRIE FALCON RD STE 150
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City | LAS VEGAS
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State | NV
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Zip | 89128-0810
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Country | US
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Telephone | 702-329-0125
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Fax | 725-269-1215
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | LBA0114
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License Number State | NV
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