Provider Demographics
NPI:1760240816
Name:RAINES, SAADIA T
Entity Type:Individual
Prefix:
First Name:SAADIA
Middle Name:T
Last Name:RAINES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2727 DUKE ST APT 1011
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22314-4539
Mailing Address - Country:US
Mailing Address - Phone:301-674-9765
Mailing Address - Fax:
Practice Address - Street 1:4530 WALNEY RD
Practice Address - Street 2:
Practice Address - City:CHANTILLY
Practice Address - State:VA
Practice Address - Zip Code:20151-2284
Practice Address - Country:US
Practice Address - Phone:571-517-1333
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-12
Last Update Date:2024-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician