Provider Demographics
NPI:1619167566
Name:NEWBOLD-COCO, RAIN (PHD, BCBA)
Entity Type:Individual
Prefix:DR
First Name:RAIN
Middle Name:
Last Name:NEWBOLD-COCO
Suffix:
Gender:F
Credentials:PHD, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 372877
Mailing Address - Street 2:
Mailing Address - City:SATELLITE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32937-0877
Mailing Address - Country:US
Mailing Address - Phone:321-947-1939
Mailing Address - Fax:321-610-4353
Practice Address - Street 1:399 MONTECITO DR
Practice Address - Street 2:
Practice Address - City:SATELLITE BEACH
Practice Address - State:FL
Practice Address - Zip Code:32937-5706
Practice Address - Country:US
Practice Address - Phone:321-947-1939
Practice Address - Fax:321-610-4353
Is Sole Proprietor?:No
Enumeration Date:2007-07-26
Last Update Date:2007-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1-04-1729174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist