Erica Reynolds

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-20-128685

Practice address

1233 Eagle Lndng Pkwy Ste a&B
Stockbridge, GA 30281-6399

Phone

(404) 480-3842

NPI assigned

Aug 20, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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 and National Provider Directory roles.

• Eastern New Mexico University

  • Speech-Language Pathologist
  • Portales, NM
  • NPI 1356115273
  NPD (past)

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

{
    "created_epoch": "1534723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606867200000",
    "number": "1629558556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 MURFREESBORO PIKE STE 702",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372172679",
            "telephone_number": "844-359-7629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1233 EAGLE LNDNG PKWY STE A&B",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302816399",
            "telephone_number": "404-480-3842"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 S Ave K Station 3, SHROC",
            "address_purpose": "LOCATION",
            "city": "Portales",
            "state": "NM",
            "postal_code": "88130",
            "country_code": "US",
            "telephone_number": "575-562-2156",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "ERICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-20",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": "RBT-20-128685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Resourceful Home Care Services, LLC
• Revive Orthopedics Spine & Sports Medicine, Inc
• Revivify Medical Supply LLC
• Rey of Life Homecare Services LLC
• Elysia Hymon Reynolds, DNP, APRN, FNP-C
• Michael Paul Errington Reynolds
• Shahram Rezaiamiri, M.D.
• Yolanda Rhetta, PHARM.D., RPH.
• Kyoo Ricard, MD
• Qunisha T Richard, RBT

• Behavior Technician in Stockbridge, GA
• Providers in Stockbridge, GA by specialty
• Behavior Technician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2020; 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.