MEDICARE: BRIDGET BRIANNE REYNOLDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician	RBT-15-7030-20402	FL

General Provider Information

NPI Number	:	1467997759
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIDGET BRIANNE REYNOLDS

Provider Business Mailing Address
First Line	:	126 TALL OAKS RD
Second Line	:
City	:	DEFUNIAK SPRINGS
State	:	FL
Zip	:	32435-8975
Country	:	US
Telephone Number	:	850-585-9189
Fax Number	:	850-951-0898

Provider Business Practice Location Address
First Line	:	171 STATE HIGHWAY 83 UNIT A101
Second Line	:
City	:	DEFUNIAK SPRINGS
State	:	FL
Zip	:	32433-7427
Country	:	US
Telephone Number	:	850-585-9189
Fax Number	:	850-951-0898

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/22/2016
Last Update Date	:	12/22/2016

Similar Medicare Providers

1114350741 — MRS. HEATHER LYNN MARSHALL BCBA
Practice Location Address:

171 STATE HIGHWAY 83 , UNIT A101
DEFUNIAK SPRINGS, FL
32433-7427

Practice Phone: 850-585-9189
Practice Fax:

1154879286 — ANNA LEE WITTE RBT
Practice Location Address:

171 ST HWY 83 N
DEFUNIAK SPRINGS, FL
32433-7427

Practice Phone: 850-468-0824
Practice Fax:

1316482706 — MRS. REBE NICOLE ARRIETA RBT
Practice Location Address:

171 STATE HIGHWAY 83 UNIT A101
DEFUNIAK SPRINGS, FL
32433-7427

Practice Phone: 850-585-9189
Practice Fax: 850-951-0898

1891213153 — LAUREN ELIZABETH BELL
Practice Location Address:

171 ST HWY 83 N # A-101
DEFUNIAK SPRINGS, FL
32433-7427

Practice Phone: 850-585-9189
Practice Fax: 850-951-0898

1609394915 — SAVANNAH LYNN LERNER
Practice Location Address:

171 STATE HIGHWAY 83 UNIT A-101
DEFUNIAK SPRINGS, FL
32433-7427

Practice Phone: 850-585-9189
Practice Fax: 850-951-0898

1619487154 — KENNEDY CHRYSTIAN BOGGS
Practice Location Address:

171 STATE HIGHWAY 83 UNIT A-101
DEFUNIAK SPRINGS, FL
32433-7427

Practice Phone: 850-585-9189
Practice Fax: 850-951-0898

Directions to “ BRIDGET BRIANNE REYNOLDS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.