Active NPI
Alyssa Claire Reynolds, M.S. ED., BCBA, LABA
- Behavior Analyst
- Worcester, MA
National Provider Identifier
1407694193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-21-47802
- Practice address
- 7 Hazelwood Rd
Worcester, MA 01609-1550 - Phone
- (774) 314-1152
- NPI assigned
- Jul 17, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-21-47802 | MA | Primary |
Addresses
Primary practice location
7 Hazelwood Rd
Worcester, MA 01609-1550
Mailing address
86 New Westminster Rd
Hubbardston, MA 01452-1520
Phone (978) 944-9994
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721174400000",
"number": "1407694193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "86 NEW WESTMINSTER RD",
"city": "HUBBARDSTON",
"state": "MA",
"postal_code": "014521520",
"telephone_number": "978-944-9994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 HAZELWOOD RD",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016091550",
"telephone_number": "774-314-1152"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYNOLDS",
"first_name": "ALYSSA",
"middle_name": "CLAIRE",
"credential": "M.S. ED., BCBA, LABA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-07-17",
"last_updated": "2024-07-17",
"certification_date": "2024-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MA",
"license": "1-21-47802",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.