Individual
MRS. MELISSA REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
310 N LOOMIS ST, CHICAGO, IL 60607-1147
(312) 733-0883
Mailing address
310 N LOOMIS ST, CHICAGO, IL 60607-1147
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
12/14/2017
Last updated
08/04/2021
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