Quidiann Marie Reynolds

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

4559 Issued in NC

Practice address

289 Olmsted Blvd
Pinehurst, NC 28374-8729

Phone

(898) 999-3693

NPI assigned

Jun 25, 2024

Last updated

Nov 4, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dom ABA Services LLC

  • Behavior Analyst
  • Chesapeake, VA
  • NPI 1912587585
  NPD

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

{
    "created_epoch": "1719273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1793750400000",
    "number": "1619712403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 STATION SQUARE CT",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233200705",
            "telephone_number": "757-895-2673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "289 OLMSTED BLVD",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283748729",
            "telephone_number": "898-999-3693"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "611 Station Square Ct",
            "address_purpose": "LOCATION",
            "city": "Chesapeake",
            "state": "VA",
            "postal_code": "233200705",
            "country_code": "US",
            "telephone_number": "757-895-2673",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "QUIDIANN",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-25",
        "last_updated": "2026-11-04",
        "certification_date": "2026-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NC",
            "license": "4559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Revels
• Christina Locklear Revels, PA
• Jacland F Reville Jr., MD
• Kelly W Reynolds, SLP
• Kylie Nicole Reynolds, PA
• Lola Mackenzie Reza
• Deneaja Rhodes
• James Edwin Rice, MD
• Anita Rich
• Ann Marie Toebes Richards, M.D.

• Behavior Analyst in Pinehurst, NC
• Providers in Pinehurst, NC by specialty
• Behavior Analyst in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2026; 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.