Shane Reynolds

NPI #1801568696 in Ukiah, California

Provider Information

NPI Number
1801568696
Entity Type
Individual
Name
Shane Reynolds
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Behavior Technician
Enumeration Date
Sep 30, 2021
Last Updated
Sep 30, 2021

Practice Location

Address
169 MASON ST
City
Ukiah
ZIP Code
95482-4482
Phone
(707) 463-3300

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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