RYAN REYNOLDS (NPI# 1548800899) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548800899 |
| Entity Type | Individual |
| Full Name | RYAN REYNOLDS |
| Credential | B.S., RBT |
| Practice Address |
301 Maple Ave W Ste 330 Vienna VA 22180-4301 |
| Mailing Address |
420 N Van Dorn St Apt 321 Alexandria VA 22304-5002 |
| Practice Telephone | 5715333456 |
| Enumeration Date | 2020-01-14 |
| Last Update Date | 2020-01-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619595386 | Ryan Kednall Reynolds | Specialist/Technologist | 100 N University Dr, Edmond, OK 73034-5207 | 2020-07-09 |
| 1861951022 | Ryan C. Reynolds | Nurse Anesthetist, Certified Registered | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2019-03-18 |
| 1245718295 | Ryan Hillman Reynolds | Nurse Practitioner | 1100 11th St Sw, Live Oak, FL 32064-3608 | 2018-08-01 |
| 1982132783 | Ryan Reynolds | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd Ste 308, Tampa, FL 33606-3438 | 2017-05-24 |
| 1114459278 | Ryan Reynolds | Student in an Organized Health Care Education/Training Program | 6550 Fannin St # Sm1001, Houston, TX 77030-2717 | 2017-03-29 |
| 1467869792 | Ryan Reynolds | Counselor | 975 Flynn Rd, Camarillo, CA 93012-8704 | 2014-07-18 |
| 1396018982 | Ryan Christopher Reynolds | Pharmacist | 6900 Alden Dr Bldg 160, Fe Warren Afb, WY 82005-3906 | 2012-02-14 |
| 1568662252 | Ryan Douglas Reynolds | Radiology | 801 Broadway N, Fargo, ND 58102-3641 | 2007-07-20 |
| 1720116189 | Ryan Earl Reynolds | Counselor | 113 E F St, Tehachapi, CA 93561-1710 | 2007-02-28 |
| Street Address |
301 MAPLE AVE W STE 330 |
| City | VIENNA |
| State | VA |
| Zip Code | 22180-4301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538708425 | Danye Wang | Behavioral Analyst | 301 Maple Ave W Ste 330, Vienna, VA 22180-4301 | 2019-12-25 |
| 1609406859 | Julia Ross | Behavior Technician | 301 Maple Ave W Ste 330, Vienna, VA 22180-4301 | 2020-01-16 |
| 1801426051 | Kianna Payne | Behavior Technician | 301 Maple Ave W Ste 330, Vienna, VA 22180-4301 | 2020-01-16 |
| 1770123978 | Taylor Porter | Behavior Technician | 301 Maple Ave W Ste 330, Vienna, VA 22180-4301 | 2020-01-15 |
| 1013557214 | Caitlyn Benjamin | Behavior Technician | 301 Maple Ave W Ste 330, Vienna, VA 22180-4301 | 2020-01-15 |
| 1124668322 | Rebecca Alvarado | Behavior Technician | 301 Maple Ave W Ste 330, Vienna, VA 22180-4301 | 2020-01-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023519386 | Erika Ruiz | Dentist | Ave Miraflores #6439 - A, Tijuana, BAJA CALIFORNIA 22180 | 2018-02-22 |
| 1992220206 | John Alexander | Massage Therapist | 122 Maple Ave W, Vienna, VA 22180 | 2017-08-08 |
| 1548620214 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 2675 Avenir Place, Vienna, VA 22180 | 2016-02-24 |
| 1992163190 | Peter J Mcgarry | Chiropractor | 301 Maple Ave. W. Ste 515, Vienna, VA 22180 | 2016-02-02 |
| 1629479563 | Jaimie Vettichira Samuel | Pediatrics | 100 East St Se Ste 301, Vienna, VA 22180 | 2014-09-10 |
| 1326454562 | N R Emad Dds PC | Dentist | 307 F Maple Ave. W #100, Vienna, VA 22180 | 2014-07-09 |
| 1881020568 | Albert Juan Garcia | Obstetrics & Gynecology | 926 Fairway Dr., N.e., Vienna, VA 22180 | 2013-09-25 |
| 1295174662 | Sallie Twentyman | Social Worker | 129 Park St Ne Ste 12b, Vienna, VA 22180 | 2013-06-19 |
| 1124390992 | Gilda T. Clarke | Counselor | 133 Park St. Ne, Vienna, VA 22180 | 2012-02-08 |
| 1740573898 | Metro Eyes LLC | Technician/Technologist | 256 E Maple Avenue, Vienna, VA 22180 | 2011-05-24 |
| Find all providers in zip 22180 | ||||
| Taxonomy Code | 106S00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavior Technician |
| The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work. |
| Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356942775 | Khalina Boyce | Behavior Technician | 8000 Towers Crescent Drive, 13th Floor, Vienna, VA 22182 | 2020-11-03 |
| 1235750159 | Mostafa K. Sidki | Behavior Technician | 8005 Tyson Oaks Cir, Vienna, VA 22182-3939 | 2020-05-01 |
| 1952902868 | Rachel Scott | Behavior Technician | 8000 Towers Crescent Dr Fl 13, Vienna, VA 22182-6211 | 2020-11-06 |
| 1457952681 | David Eduardo Lopez Cardona | Behavior Technician | 8000 Towers Crescent Dr, Vienna, VA 22182-6207 | 2020-11-04 |
| 1093316291 | Alexis Lacaille Lorick | Behavior Technician | 8000 Towers Crescent Dr, Vienna, VA 22182-6207 | 2020-11-04 |
| 1154921971 | Brianna Robinson | Behavior Technician | 8000 Towers Crescent Dr, Vienna, VA 22182-6207 | 2020-10-30 |
| 1710587522 | Amanda Clark | Behavior Technician | 8000 Towers Crescent Dr, Vienna, VA 22182-6207 | 2020-10-30 |
| 1609406859 | Julia Ross | Behavior Technician | 301 Maple Ave W Ste 330, Vienna, VA 22180-4301 | 2020-01-16 |
| 1801426051 | Kianna Payne | Behavior Technician | 301 Maple Ave W Ste 330, Vienna, VA 22180-4301 | 2020-01-16 |
| 1770123978 | Taylor Porter | Behavior Technician | 301 Maple Ave W Ste 330, Vienna, VA 22180-4301 | 2020-01-15 |
| Find all providers in VIENNA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.