Reynolds, Sophia

Reynolds, Sophia is an individual health care provider with primary practice located at 4044 Meadowlark Dr , Kissimmee FL 34746-2004. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavior Technician is her primary health care specialty. Reynolds, Sophia can be contacted via phone (689) 680-9540.

Contact Information

Primary practice address
4044 Meadowlark Dr Kissimmee FL 34746-2004
Phone: (689) 680-9540
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1588060396
LBN Legal business name Reynolds, Sophia
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 6th, 2014
Last updated Apr 19th, 2024 - about 7 months 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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Identifiers

StateTypeNumberIssuer
All States NPI 1588060396 NPPES
Florida MEDICAID 010778900

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