All Medicaid billing entities listing RAQUE, KYLE (REGISTERED AGENT/OWNER) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Georgia | 1 | $35K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | BLUE RIDGE PSYCHOLOGICAL SERVICES, LLC | BLUE RIDGE, GA | Clinical Psychologist | $35K |