Most Relevant Information
Provider Data
| NPI Number: | 1003446337 |
| Provider Name: | REAGAN KATHLEEN REINSMITH |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/26/2020 |
| Last Updated: | 01/26/2020 |
Provider Practice Location
526 W CENTRE AVE
PORTAGE
MI
490245306
Practice Location Phone/Fax
| Phone: | 2693219556 |
| Fax: |
Provider Mailing Location
526 W CENTRE AVE
PORTAGE
MI
490245306
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |