Alexander David Reynolds
Behavior Technician in Lakeville, MN. Individual provider (NPI-1).
NPI number1023908563
StatusActive
Last updated in NPPESJul 7, 2025
Details
- NPI
- 1023908563
- Entity type
- Individual (NPI-1)
- Name
- Alexander David Reynolds
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 7, 2025
- Certification date
- Jul 7, 2025
- Last updated
- Jul 7, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
10450 185th St W Ste 100Lakeville, MN 55044-6696
Phone 612-509-6690
Mailing address
10240 S Oak Shore DrLakeville, MN 55044-5655
Phone 952-451-6048
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All 141 Behavior Technician providers in Lakeville · All 1,079 providers in Lakeville
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