Individual
ACHANTE JANELLE REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
563 BALBOA AVE, SUITE 521, SAN DIEGO, CA 92111
(855) 832-6727
Mailing address
563 BALBOA AVE, SUITE 521, SAN DIEGO, CA 92111
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/12/2018
Last updated
06/12/2018
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