Teiontay Lanae Reynolds

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

A67341612 Issued in VA

Practice address

2761 Richmond Hwy
Stafford, VA 22554-8329

Phone

(540) 699-3877

NPI assigned

Nov 18, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1668729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668729600000",
    "number": "1124737101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2761 RICHMOND HWY STE 107",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225548330",
            "telephone_number": "540-699-3877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2761 RICHMOND HWY",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225548329",
            "telephone_number": "540-699-3877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "TEIONTAY",
        "middle_name": "LANAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-18",
        "last_updated": "2022-11-18",
        "certification_date": "2022-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "VA",
            "license": "A67341612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Restore Lyfe LLC
• Jeremy Alexander Reuse, MSW
• Angelique Dejuan Reynolds-King
• Claire Reynolds, PT, DPT
• Mitchel Reynolds
• Rica Pediatrics LLC
• Meredith Richard, DPT
• Carla Boelte Richardson, VATL, ATC
• Raena C Richardson
• Richmond Medical Group

• Behavior Analyst in Stafford, VA
• Providers in Stafford, VA by specialty
• Behavior Analyst in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.