Individual
MS. THERESA REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
21 PARK ST, SUITE 414, ATTLEBORO, MA 02703-2315
(844) 825-5222
(508) 848-0101
Mailing address
25R PECK ST, ATTLEBORO, MA 02703-2207
(508) 838-0284
(508) 848-0101
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-15-18636
CO
Other
Enumeration date
07/01/2015
Last updated
07/01/2015
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