Individual provider Active NPI

Audrey Nicole Raynor, BCBA AND LMSW

  • Clinical Social Worker
  • Las Vegas, NV
National Provider Identifier
1134614068
Registry record updated Aug 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
12532-M Issued in NV
Practice address
5009 Cascade Pools Ave
Las Vegas, NV 89131-3626
Phone
(210) 993-0212
NPI assigned
Jun 23, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 5249 TX
Behavior Analyst 103K00000X 1-22-60738
Clinical Social Worker 1041C0700X 12532-M NV Primary

Addresses

Primary practice location

5009 Cascade Pools Ave
Las Vegas, NV 89131-3626

Mailing address

168 Commons Dr
Enterprise, AL 36330-1648
Phone (210) 993-0212

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
12532-MNVMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rayn ABA LLC CurrentSince Oct 23, 2022 Accepting new patients
Let'S Learn Inc Behavior Analyst Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1529712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755648000000",
    "number": "1134614068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 COMMONS DR",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363301648",
            "telephone_number": "210-993-0212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5009 CASCADE POOLS AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891313626",
            "telephone_number": "210-993-0212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYNOR",
        "first_name": "AUDREY",
        "middle_name": "NICOLE",
        "credential": "BCBA AND LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-23",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "5249",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-22-60738",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "12532-M",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.