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Individual

BRIAN EDWARD REYNOLDS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RBT

Contact information

Practice address
3300 MAIN ST, ANDERSON, IN 46013-4233
(765) 400-4258
Mailing address
2619 E 8TH ST, ANDERSON, IN 46012-4403

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-410853
IN

Other

Enumeration date
02/28/2025
Last updated
02/28/2025
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