Provider Demographics
NPI:1205183662
Name:JEANBAPTISTE, RAYNALD
Entity Type:Individual
Prefix:MR
First Name:RAYNALD
Middle Name:
Last Name:JEANBAPTISTE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1192 BLUE LAKES RD
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89523-1763
Mailing Address - Country:US
Mailing Address - Phone:775-342-3543
Mailing Address - Fax:
Practice Address - Street 1:1192 BLUE LAKES RD
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89523-1763
Practice Address - Country:US
Practice Address - Phone:775-342-3543
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-04
Last Update Date:2012-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst