Individual
TEIONTAY LANAE REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2761 RICHMOND HWY, STAFFORD, VA 22554-8329
(540) 699-3877
Mailing address
2761 RICHMOND HWY STE 107, STAFFORD, VA 22554-8330
(540) 699-3877
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
A67341612
VA
Other
Enumeration date
11/18/2022
Last updated
11/18/2022
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