Organization
BEHAVIORALLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RASHAI REYNOLDS PHD (FOUNDER/CEO)
(317) 452-6279
Entity
Organization
Contact information
Practice address
1505 RAIBLE AVE UNIT 2419, ANDERSON, IN 46018-7721
(317) 452-6279
Mailing address
PO BOX 2419, ANDERSON, IN 46018-2419
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
103T00000X
Psychologist
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
04/08/2024
Last updated
04/08/2024
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