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NPI Code Detail

MEDICARE: TONJYA REYNOLDS

MEDICARE: TONJYA 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
1106S00000XBehavior TechnicianNM

General Provider Information

NPI Number : 1598619157
Entity Type Code : Individual
Provider Name (Legal Business Name) : TONJYA REYNOLDS
Provider Business Mailing Address
First Line : 500 UNSER BLVD SE
Second Line :
City : RIO RANCHO
State : NM
Zip : 87124-4660
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 500 UNSER BLVD SE
Second Line :
City : RIO RANCHO
State : NM
Zip : 87124-4660
Country : US
Telephone Number : 505-624-9814
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/23/2026
Last Update Date : 02/23/2026

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Directions to “ TONJYA REYNOLDS ” Practice Location

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