Individual ProviderAudrey Nicole RaynorSocial WorkerBehavioral Health & Social Service ProvidersPractice Address5009 Cascade Pools Ave, Las Vegas, NV 89131-3626(210) 993-0212PECOS EnrollmentBased on the most recent information from CMS, provider Audrey Nicole Raynor does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:14 PM.Profile DetailsProvider ID1134614068Provider TypeIndividualFull NameRaynor, Audrey NicoleCredentialBCBA AND LMSWGenderFemaleSole ProprietorYesEnumeration Date6/23/2018Last Updated8/20/2025Contact InformationPractice LocationPractice Address5009 Cascade Pools Ave, Las Vegas, NV 89131-3626Phone(210) 993-0212FaxUnlisted FaxMailing LocationMailing Address168 Commons Dr, Enterprise, AL 36330-1648Phone(210) 993-0212FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense12532-MNevadaCode103K00000XDescriptionBehavior AnalystBehavioral Health & Social Service ProvidersLicense5249TexasCode103K00000XDescriptionBehavior AnalystBehavioral Health & Social Service ProvidersLicense1-22-60738