Individual
LACEI REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
29174 SW TOWN CENTER LOOP W STE 101, WILSONVILLE, OR 97070-9309
(971) 252-6155
Mailing address
21600 OXNARD ST STE 1800, WOODLAND HILLS, CA 91367-7807
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/27/2018
Last updated
02/27/2018
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