Organization
BETTY REYNOLDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETTY REYNOLDS SW (OWNER)
(954) 394-2835
Entity
Organization
Contact information
Practice address
13055 SW 15TH CT, APT S303, PEMBROKE PINES, FL 33027-2438
(954) 394-2835
Mailing address
13055 SW 15TH CT, APT S303, PEMBROKE PINES, FL 33027-2438
(954) 394-2835
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2625
FL
Other
Enumeration date
06/15/2016
Last updated
06/15/2016
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