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Individual

SHANNON REYNOLDS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BCBA

Contact information

Practice address
6225 ATLANTA HWY STE 110, ALPHARETTA, GA 30004-8799
(770) 530-7394
Mailing address
6825 DARLINGTON CT, CUMMING, GA 30040-1208
(770) 842-1420

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-14-15544
GA

Other

Enumeration date
07/10/2022
Last updated
07/10/2022
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