Brooke Elizabeth Reynolds

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

106S00000X Issued in VA

Practice address

5415C Backlick Rd
Springfield, VA 22151-3915

Phone

(703) 941-1910

NPI assigned

Jun 1, 2021

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

Other identifiers 1

Electronic endpoints 1

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": "1622505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622505600000",
    "number": "1346816303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2671 AVENIR PL APT 1329",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221806772",
            "telephone_number": "703-615-9960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5415C BACKLICK RD",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221513915",
            "telephone_number": "703-941-1910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "BROOKE",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-01",
        "last_updated": "2021-06-01",
        "certification_date": "2021-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "VA",
            "license": "106S00000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1699097139",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "7039411910",
            "affiliation": "N",
            "endpointDescription": "Phone",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5415C Backlick Rd",
            "city": "Springfield",
            "state": "VA",
            "country_code": "US",
            "postal_code": "221513915",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Jenny Reyes
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• Rhodes2Healing LLC
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• Kurt L Rhymers, MD
• Samantha Ricci

• Behavior Technician in Springfield, VA
• Providers in Springfield, VA by specialty
• Behavior Technician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2021; 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.