Provider Demographics
NPI:1730842758
Name:RAINS, REBECCA ANNE (RBT)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:ANNE
Last Name:RAINS
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:104 PARADISE HARBOUR BLVD APT 414
Mailing Address - Street 2:
Mailing Address - City:NORTH PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33408-5009
Mailing Address - Country:US
Mailing Address - Phone:937-304-8363
Mailing Address - Fax:
Practice Address - Street 1:104 PARADISE HARBOUR BLVD APT 414
Practice Address - Street 2:
Practice Address - City:NORTH PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33408-5009
Practice Address - Country:US
Practice Address - Phone:937-304-8363
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-17
Last Update Date:2021-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-21-163032106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician