Individual
CEDAR M REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6445 EDEN GARDEN DR APT 106, LOVELAND, CO 80538-6922
(970) 694-1035
Mailing address
1330 OAKRIDGE DR UNIT 105, FORT COLLINS, CO 80525-9651
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00072717100
—
CO
Enumeration date
11/09/2021
Last updated
11/09/2021
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