Individual
DERECK REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
356 N ROCK RD STE A, WICHITA, KS 67206-2200
(306) 202-1921
Mailing address
18600 E 37TH TER S, INDEPENDENCE, MO 64057-1707
(816) 656-7502
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/17/2025
Last updated
07/17/2025
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