Reynolds, Larissa Kern

Reynolds, Larissa Kern is an individual health care provider with primary practice located at 8615 East Village Avenue , Montgomery Village MD 20886. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Reynolds, Larissa Kern can be contacted via phone (240) 912-3677.

Contact Information

Primary practice address
8615 East Village Avenue Montgomery Village MD 20886
Phone: (240) 912-3677
Fax: (240) 912-2288
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Behavioral Health & Social Service Providers / Clinical 103TC0700X 03420 Maryland

Profile Details

NPI number 1699015354
LBN Legal business name Reynolds, Larissa Kern
Credentials PH.D., BCBA-D
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 18th, 2013
Last updated Feb 18th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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