Individual
MS. ELYSE MARIE REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14251 73RD AVE NE, APT A104, KIRKLAND, WA 98034-4994
(208) 602-2009
Mailing address
14251 73RD AVE NE, APT A104, KIRKLAND, WA 98034-4994
(208) 602-2009
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-13-12817
—
Other
Enumeration date
06/23/2014
Last updated
06/23/2014
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