Individual
RACHEL JAYNE REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA, LBA
Contact information
Practice address
131 SUMMIT DR FL 3, PIKEVILLE, KY 41501-1580
(606) 218-2256
(606) 218-6577
Mailing address
PO BOX 432, PIKEVILLE, KY 41502-0432
(606) 218-2256
(606) 218-6577
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
243432
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-18-29633
BCBA CERTIFICATE
—
Enumeration date
10/12/2018
Last updated
10/07/2022
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