Individual
NICHOLAS MARTIN REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.ED, BCBA
Contact information
Practice address
4616 25TH AVE NE, PMB 437, SEATTLE, WA 98105
(206) 841-0205
Mailing address
4616 25TH AVE NE, PMB 437, SEATTLE, WA 98105
(206) 841-0205
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-17-29063
WA
Other
Enumeration date
01/05/2018
Last updated
01/05/2018
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