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NPI Code Detail

MEDICARE: DANIELLE ELISE RAINWATER

MEDICARE:   DANIELLE ELISE RAINWATER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1902769656
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIELLE ELISE RAINWATER
Provider Business Mailing Address
First Line : 4715 E GREENFIELD CIR
Second Line :
City : LAKE CHARLES
State : LA
Zip : 70605-5305
Country : US
Telephone Number : 337-513-8249
Fax Number :
Provider Business Practice Location Address
First Line : 127 WILLIAMSBURG ST BLDG E
Second Line :
City : LAKE CHARLES
State : LA
Zip : 70605-5719
Country : US
Telephone Number : 938-357-6113
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2025
Last Update Date : 12/08/2025

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Directions to “ DANIELLE ELISE RAINWATER ” Practice Location

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