NPI 1023789112

Rae'Nicia Niles

Practitioner Behavior Technician Vienna, VA

Practice location

Address: 301 Maple Ave W STE 330, Vienna, VA 22180-4301
Phone: (571) 533-3456

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X Licence RBT-21-165824 (VA)

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Registry record

NPI: 1023789112
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Sep 2021
Record last updated: 28 Sep 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.