Most Relevant Information
Provider Data
| NPI Number: | 1003572652 |
| Provider Name: | CEDAR M REYNOLDS |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/09/2021 |
| Last Updated: | 11/09/2021 |
Provider Practice Location
6445 EDEN GARDEN DR APT 106
LOVELAND
CO
805386922
Practice Location Phone/Fax
| Phone: | 9706941035 |
| Fax: |
Provider Mailing Location
1330 OAKRIDGE DR UNIT 105
FORT COLLINS
CO
805259651
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |