Individual
IVANNA BEATRIZ REYNOSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
98 BEAVERBROOK PKWY, WORCESTER, MA 01603-3205
(774) 329-4427
Mailing address
98 BEAVERBROOK PKWY, WORCESTER, MA 01603-3205
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
LABA10002012
MA
Other
Enumeration date
03/09/2026
Last updated
03/09/2026
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