Knight, Raeanna Lyn

Knight, Raeanna Lyn is an individual health care provider with primary practice located at 650 Lincoln St , Worcester MA 01605-2060. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Behavior Technician, Technologists, Technicians & Other Technical Service Providers / Technician, Other. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Knight, Raeanna Lyn can be contacted via phone (239) 595-3325.

Contact Information

Primary practice address
650 Lincoln St Worcester MA 01605-2060
Phone: (239) 595-3325
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-23-64098 Florida
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X

Profile Details

NPI number 1376050211
LBN Legal business name Knight, Raeanna Lyn
Credentials BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 31st, 2017
Last updated Dec 18th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376050211 NPPES
Florida MEDICAID 100899900

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