Individual
ALEXANDRA REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6140 W EXECUTIVE DR, MEQUON, WI 53092-4499
(888) 946-5037
Mailing address
8320 N POPLAR DR, FOX POINT, WI 53217-2826
(262) 271-8466
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/13/2023
Last updated
02/13/2023
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