Individual
CHRISTINA REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 E CREEK RD APT 5B, CAPITAN, NM 88316-5098
(805) 591-9364
Mailing address
200 E CREEK RD APT 5B, CAPITAN, NM 88316-5098
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/07/2021
Last updated
01/07/2021
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