Provider Demographics
NPI:1902464100
Name:REINERT, LORA
Entity Type:Individual
Prefix:
First Name:LORA
Middle Name:
Last Name:REINERT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:923 WHISPER HOLLOW DR
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23322-9516
Mailing Address - Country:US
Mailing Address - Phone:757-641-6455
Mailing Address - Fax:757-852-0500
Practice Address - Street 1:923 WHISPER HOLLOW DR
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23322-9516
Practice Address - Country:US
Practice Address - Phone:757-641-6455
Practice Address - Fax:757-852-0500
Is Sole Proprietor?:No
Enumeration Date:2019-06-03
Last Update Date:2022-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
106S00000X
VA0133001931103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician