Provider Demographics
NPI:1124744404
Name:PADILLA HAMPTON, RAELYNN M (RBT)
Entity type:Individual
Prefix:
First Name:RAELYNN
Middle Name:M
Last Name:PADILLA HAMPTON
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
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Mailing Address - Street 1:31 PINE VIEW DR
Mailing Address - Street 2:
Mailing Address - City:BLUFFTON
Mailing Address - State:SC
Mailing Address - Zip Code:29910-6807
Mailing Address - Country:US
Mailing Address - Phone:912-677-4292
Mailing Address - Fax:912-200-5712
Practice Address - Street 1:613 TOWNE PARK DR W STE 103
Practice Address - Street 2:
Practice Address - City:RINCON
Practice Address - State:GA
Practice Address - Zip Code:31326-9098
Practice Address - Country:US
Practice Address - Phone:912-677-4292
Practice Address - Fax:912-200-5712
Is Sole Proprietor?:No
Enumeration Date:2022-10-18
Last Update Date:2022-10-18
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician