Teiontay Lanae Reynolds
Behavior Analyst in Stafford, VA. Individual provider (NPI-1).
NPI number1124737101
StatusActive
Last updated in NPPESNov 18, 2022
Details
- NPI
- 1124737101
- Entity type
- Individual (NPI-1)
- Name
- Teiontay Lanae Reynolds
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 18, 2022
- Certification date
- Nov 18, 2022
- Last updated
- Nov 18, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | A67341612 | VA | Yes |
Practice location
2761 Richmond HwyStafford, VA 22554-8329
Phone 540-699-3877
Mailing address
2761 Richmond Hwy Ste 107Stafford, VA 22554-8330
Phone 540-699-3877
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