Individual
RYAN REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, BCBA, LBA
Contact information
Practice address
1964 GALLOWS RD STE 280, VIENNA, VA 22182-3877
(571) 533-3456
Mailing address
1964 GALLOWS RD STE 280, VIENNA, VA 22182-3877
(571) 533-3456
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/14/2020
Last updated
04/16/2024
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