Most Relevant Information
Provider Data
| NPI Number: | 1003432154 |
| Provider Name: | ANASTAZIA RAYNE RAYMER |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: | RBT-19-107702 |
Most Important Dates
| Enumeration Date: | 06/24/2020 |
| Last Updated: | 07/31/2024 |
Provider Practice Location
1220 ASHLEY CIR
BOWLING GREEN
KY
421043338
Practice Location Phone/Fax
| Phone: | 2709367472 |
| Fax: |
Provider Mailing Location
1220 ASHLEY CIR
BOWLING GREEN
KY
421043338
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |