Individual
TAYLOR REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
1426 E BRADFORD PKWY STE J, SPRINGFIELD, MO 65804-6884
(417) 324-7777
Mailing address
1426 E BRADFORD PKWY STE J, SPRINGFIELD, MO 65804-6884
(417) 324-7777
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB925931
MO
Other
Enumeration date
12/04/2024
Last updated
12/19/2024
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