Provider Demographics
NPI:1730693458
Name:REINERS, ANNA MARIE (BCBA)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:MARIE
Last Name:REINERS
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6103 OLD QUARRY LOOP
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94605-3377
Mailing Address - Country:US
Mailing Address - Phone:424-259-1661
Mailing Address - Fax:
Practice Address - Street 1:6103 OLD QUARRY LOOP
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94605-3377
Practice Address - Country:US
Practice Address - Phone:424-259-1661
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-17
Last Update Date:2017-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst