Provider Demographics
NPI:1619737632
Name:HEALTH & AUTISM PROFESSIONAL ASSOCIATES & COMPANY, LLC
Entity Type:Organization
Organization Name:HEALTH & AUTISM PROFESSIONAL ASSOCIATES & COMPANY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:KELCIE
Authorized Official - Middle Name:NOELANI
Authorized Official - Last Name:RAINES
Authorized Official - Suffix:
Authorized Official - Credentials:PSYMS, BCBA, LBA
Authorized Official - Phone:808-729-1706
Mailing Address - Street 1:21191 VINELAND SQ
Mailing Address - Street 2:
Mailing Address - City:ASHBURN
Mailing Address - State:VA
Mailing Address - Zip Code:20147-5463
Mailing Address - Country:US
Mailing Address - Phone:808-729-1706
Mailing Address - Fax:
Practice Address - Street 1:21191 VINELAND SQ
Practice Address - Street 2:
Practice Address - City:ASHBURN
Practice Address - State:VA
Practice Address - Zip Code:20147-5463
Practice Address - Country:US
Practice Address - Phone:808-729-1706
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-19
Last Update Date:2024-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty