Provider Demographics
NPI:1609673300
Name:FLEITES, RAINER
Entity type:Individual
Prefix:
First Name:RAINER
Middle Name:
Last Name:FLEITES
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1750 NE 191ST ST APT 403D
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33179-4248
Mailing Address - Country:US
Mailing Address - Phone:786-246-8121
Mailing Address - Fax:
Practice Address - Street 1:1750 NE 191ST ST APT 403D
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33179-4248
Practice Address - Country:US
Practice Address - Phone:786-246-8121
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-28
Last Update Date:2025-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician