Christina Reynolds

Individual provider Active NPI Behavior Technician · Capitan, NM

NPI 1033707849 · NPPES record last updated Jan 7, 2021

Key facts

NPI
1033707849
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
200 E Creek Rd Apt 5B
Capitan, NM 88316-5098
Phone
(805) 591-9364
NPI assigned
Jan 7, 2021
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

200 E Creek Rd Apt 5B
Capitan, NM 88316-5098

Mailing address

200 E Creek Rd Apt 5B
Capitan, NM 88316-5098

Other providers in Capitan, NM

All providers in Capitan, NM · Behavior Technician in New Mexico

Sources for this page

Verify at the official NPI Registry.