Active NPI
Quentin Lashawn Reynolds
- Behavior Technician
- East Point, GA
National Provider Identifier
1467267161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-24-383451
- Practice address
- 2515 Hogan Rd
East Point, GA 30344-3824 - Phone
- (678) 949-1158
- NPI assigned
- Feb 10, 2025
- Sex
- Male
- 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 Technician | 106S00000X | RBT-24-383451 | IL | Primary |
Addresses
Primary practice location
2515 Hogan Rd
East Point, GA 30344-3824
Mailing address
2515 Hogan Rd
East Point, GA 30344-3824
Phone (678) 949-1158
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-24-383451 | IL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1739145600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739145600000",
"number": "1467267161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2515 HOGAN RD",
"city": "EAST POINT",
"state": "GA",
"postal_code": "303443824",
"telephone_number": "678-949-1158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2515 HOGAN RD",
"city": "EAST POINT",
"state": "GA",
"postal_code": "303443824",
"telephone_number": "678-949-1158"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYNOLDS",
"first_name": "QUENTIN",
"middle_name": "LASHAWN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-02-10",
"last_updated": "2025-02-10",
"certification_date": "2025-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "IL",
"license": "RBT-24-383451",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Point, GA
- Rebirth Counseling and Training Center
- Mary Latrelle Reese
- Regency Hospital Company of South Atlanta, LLC
- Remarkable Home Care Solutions, LLC
- Claude H. Rene-Cunningham, DNP, APN
- Robin Raquel Reynolds
- Conchata S Richards, MS, LPC, NCC
- Candace Avril Richardson
- Valerie Dianne Robbins-Acker, O.D.
- Sonia J Rochester, RN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.