Individual
SHANNON REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5334 S 136TH ST, OMAHA, NE 68137-3001
(402) 259-6948
Mailing address
PO BOX 736707, CHICAGO, IL 60673-6707
(317) 502-3512
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-473351
NE
Other
Enumeration date
09/24/2025
Last updated
11/06/2025
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