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NPI Code Detail

MEDICARE: ALLYCE REEVES

MEDICARE: ALLYCE REEVES
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 TechnicianRBT-18-58-115TX

General Provider Information

NPI Number : 1043983968
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALLYCE REEVES
Provider Business Mailing Address
First Line : 711 COMMERCE ST STE 204
Second Line :
City : TACOMA
State : WA
Zip : 98402-4514
Country : US
Telephone Number : 760-308-7324
Fax Number : 833-888-0492
Provider Business Practice Location Address
First Line : 3300 N INTERSTATE 35 STE 700
Second Line :
City : AUSTIN
State : TX
Zip : 78705-1874
Country : US
Telephone Number : 760-308-7324
Fax Number : 833-888-0492
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2021
Last Update Date : 07/27/2021

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Directions to “ ALLYCE REEVES ” Practice Location

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