Individual
JENNA ANN REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, BCBA
Contact information
Practice address
2730 S VAL VISTA DR BLDG 4, GILBERT, AZ 85295-1675
(480) 608-4640
(602) 926-0352
Mailing address
1601 S MOPAC EXPY STE C300, AUSTIN, TX 78746-7077
(512) 920-1030
(512) 256-1983
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
001082
AZ
103K00000X
Behavior Analyst
11938038
IL
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-19-38038
BCBA CERTIFICATE
—
01
—
BEH-001082
AZ PSYCH BOARD
AZ
Enumeration date
10/11/2018
Last updated
04/11/2023
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