Individual
ZACHARY REINEKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA - LBA
Contact information
Practice address
15116 N COTTON LN, SURPRISE, AZ 85388-9618
(800) 376-3440
Mailing address
15116 N COTTON LN, SURPRISE, AZ 85388-9618
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-31752
AZ
Other
Enumeration date
06/10/2019
Last updated
07/02/2024
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