Individual
ALYSSA MICHELLE REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
2749 SW ONAWAY AVE, PORT SAINT LUCIE, FL 34987-2204
(331) 333-2835
Mailing address
2749 SW ONAWAY AVE, PORT SAINT LUCIE, FL 34987-2204
(331) 333-2835
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/05/2018
Last updated
07/05/2018
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