Moon Prayer Rainbow, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

CB61056109 Issued in WA

Practice address

711 Commerce St
Tacoma, WA 98402-4514

Phone

(360) 485-9254

NPI assigned

Jan 28, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1422403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585872000000",
    "number": "1285024299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 WASHINGTON ST SE APT 6",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985019303",
            "telephone_number": "360-485-9254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 COMMERCE ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984024514",
            "telephone_number": "360-485-9254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAINBOW",
        "first_name": "MOON",
        "middle_name": "PRAYER",
        "name_prefix": "Miss",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-28",
        "last_updated": "2020-04-03",
        "certification_date": "2020-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "CL 60491288",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "WA",
            "license": "CB61056109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valeriya Ragozina
• Susan Rahman, PH.D.
• Carla Renee Rahming
• Kyle Matthew Raider
• Aaron Lee Rainboth
• Rainer Therapy PLLC
• Karie L. Rainer, PH.D.
• Brigitte Raines
• Rainier Associates Partnership
• Rainier Athletic Club

• Behavior Technician in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Behavior Technician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2020; 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.