Rainbow, Moon Prayer

Rainbow, Moon Prayer is an individual health care provider with primary practice located at 711 Commerce St , Tacoma WA 98402-4514. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavior Technician is her primary health care specialty. Rainbow, Moon Prayer can be contacted via phone (360) 485-9254.

Contact Information

Primary practice address
711 Commerce St Tacoma WA 98402-4514
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X CL 60491288 Washington
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X CB61056109 Washington

Profile Details

NPI number 1285024299
LBN Legal business name Rainbow, Moon Prayer
Credentials RBT
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 28th, 2015
Last updated Apr 3rd, 2020 - about 4 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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