MICHAEL GEORGE REYNOLDS (NPI# 1891256988) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891256988 |
| Entity Type | Individual |
| Full Name | MICHAEL GEORGE REYNOLDS |
| Practice Address |
4950 San Bernardino St Ste 101 Montclair CA 91763-2328 |
| Mailing Address |
1301 E Orangewood Ave Anaheim CA 92805-6807 |
| Practice Telephone | 8002491266 |
| Mailing Telephone | 8002491266 |
| Enumeration Date | 2019-03-29 |
| Last Update Date | 2019-03-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164035655 | Michael Justin Reynolds | Home Health Aide | 3926 Southern Ave Se, 101, Washington, DC 20020-2002 | 2020-08-25 |
| 1578105243 | Michael L Reynolds | Dentist | 7742 Herschel Ave Ste I, La Jolla, CA 92037-4444 | 2019-10-14 |
| 1568769743 | Michael David Reynolds | Rehabilitation Practitioner | 6486 Violet Breeze Way, Las Vegas, NV 89142-0997 | 2011-02-23 |
| 1881913150 | Michael Henry Reynolds II | Social Worker | 32790 State Highway 99 S, Stonewall, OK 74871-6128 | 2010-05-25 |
| 1164740767 | Michael W Reynolds | Social Worker | 108 Lincoln Rd Nw, Lake Placid, FL 33852-9728 | 2010-05-07 |
| 1942534714 | Michael P Reynolds | Occupational Therapy Assistant | 2457 N 81st St, Wauwatosa, WI 53213-1012 | 2009-09-28 |
| 1861654626 | Michael Thomas Reynolds | Dentist | 625 E. Nicollet Blvd, Suite 340, Burnsville, MN 55337 | 2008-07-01 |
| 1457319543 | Michael J Reynolds | Anesthesiology | 4821 Montgomery Ln, 801, Bethesda, MD 20814-3471 | 2006-05-01 |
| 1669436770 | Michael Bryan Reynolds | Family Medicine | 3480 Deltona Blvd, Spring Hill, FL 34606-2917 | 2006-04-14 |
| 1265418560 | Michael Connell Reynolds | Counselor | 251 Country Club Dr, Eden, NC 27288-3554 | 2005-12-19 |
| Street Address |
4950 SAN BERNARDINO ST STE 101 |
| City | MONTCLAIR |
| State | CA |
| Zip Code | 91763-2328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467936906 | Bronislava Kroulik | Behavior Technician | 4950 San Bernardino St Ste 101, Montclair, CA 91763 | 2018-09-20 |
| 1780285536 | Kevin Luna | Behavior Technician | 4950 San Bernardino St Ste 101, Montclair, CA 91763-2328 | 2020-11-06 |
| 1912508763 | Erin Kline | Behavior Technician | 4950 San Bernardino St Ste 101, Montclair, CA 91763-2328 | 2020-11-06 |
| 1760083513 | Stephanie Topete | Behavior Technician | 4950 San Bernardino St Ste 101, Montclair, CA 91763-2328 | 2020-11-06 |
| 1306447164 | Vartkes Chakmakchyan | Behavior Technician | 4950 San Bernardino St Ste 101, Montclair, CA 91763-2328 | 2020-11-06 |
| 1396345054 | Jazmin Quero | Behavior Technician | 4950 San Bernardino St Ste 101, Montclair, CA 91763-2328 | 2020-10-30 |
| 1558961466 | Meris Hernandez | Behavior Technician | 4950 San Bernardino St Ste 101, Montclair, CA 91763-2328 | 2020-10-29 |
| 1245830165 | Adrian Mercado | Behavior Technician | 4950 San Bernardino St Ste 101, Montclair, CA 91763-2328 | 2020-10-29 |
| 1710587704 | Emily Macias | Behavior Technician | 4950 San Bernardino St Ste 101, Montclair, CA 91763-2328 | 2020-10-28 |
| 1720688237 | Monica Agraz | Behavior Technician | 4950 San Bernardino St Ste 101, Montclair, CA 91763-2328 | 2020-10-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194335760 | Cho Jeon Yun Dental Partnership | Dentist | 9655 Monte Vista Ave #406, Montclair, CA 91763 | 2020-08-07 |
| 1215498811 | Above Urgent Care Center | Emergency Medicine | 8891 N. Central Ave Ste A, Montclair, CA 91763 | 2019-03-27 |
| 1063936110 | Monique Karina Enriquez | Licensed Vocational Nurse | 5580 Moreno St #82, Montclair, CA 91763 | 2017-07-31 |
| 1972961159 | Lacy Pinsky | Specialist/Technologist | 5035 Flora St., Montclair, CA 91763 | 2016-02-03 |
| 1912333790 | Cinta Hospice Care Inc | Hospice Care, Community Based | 5050 Palo Verde Street, Suite 101, Montclair, CA 91763 | 2013-09-24 |
| 1720334626 | Priority One Hospice, Inc. | Hospice Care, Community Based | 4959 Palo Verde St Ste 107c, Montclair, CA 91763 | 2012-07-28 |
| 1689982498 | Paulina Trujillo Perez | Counselor | 9916 Central Ave., Montclair, CA 91763 | 2010-09-15 |
| 1982846499 | Esther Phillips Agepogu | Physician Assistant | 9301 Central Ave., Montclair, CA 91763 | 2009-03-30 |
| 1568633139 | Mahin Nosrati-jahromi | Dentist | 9509 Central Ave #d, Montclair, CA 91763 | 2008-03-21 |
| 1578742953 | Rita T Deragobian | Dentist | 9509 Central Ave. Suite # D, Montclair, CA 91763 | 2007-11-01 |
| Find all providers in zip 91763 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871099689 | American Therapy House | Behavioral Analyst | 4959 Palo Verde St Ste 105c, Montclair, CA 91763-2359 | 2018-04-02 |
| 1053841049 | Jill Laurie Saxon | Behavioral Analyst | 105 Grove St Ste 17, Montclair, NJ 07042-4053 | 2017-06-13 |
| 1134673205 | Henry Schlinger | Behavioral Analyst | 9017 Sycamore Ave, Suite 216, Montclair, CA 91763-1565 | 2016-08-06 |
| 1063884484 | Barbara Wolf | Behavioral Analyst | 15452 Silvan Glen Dr, Montclair, VA 22025-1012 | 2015-10-25 |
| 1508268038 | Kelly Archibald | Behavioral Analyst | 415 Claremont Ave Apt 5h, Montclair, NJ 07042-1800 | 2014-09-16 |
| 1679814289 | Amanda Jane Bernard | Behavioral Analyst | 413 Bloomfield Ave, Apt C, Montclair, NJ 07042-3572 | 2013-03-06 |
| 1629549894 | Dianni Faith Hall | Behavioral Analyst | 80 Park Street, Montclair, NJ 07042 | 2018-12-16 |
| 1366910929 | Shanta Dorsey | Behavioral Analyst | 4950 San Bernardino St, Montclair, CA 91763-2328 | 2018-11-12 |
| 1285172049 | Kristen Jaworski | Behavioral Analyst | 31 Trinity Pl, Apartment 14, Montclair, NJ 07042-2773 | 2017-02-01 |
| 1114462264 | Institute for Social Skills, Inc. | Behavioral Analyst | 9017 Sycamore Ave, #216, Montclair, CA 91763-1565 | 2016-12-28 |
| Find all providers in MONTCLAIR | ||||
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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.