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NPI Code Detail

MEDICARE: HUNTER C REEVE BCBA

MEDICARE: HUNTER C REEVE BCBA
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
1103K00000XBehavior AnalystL-934LA

General Provider Information

NPI Number : 1720898232
Entity Type Code : Individual
Provider Name (Legal Business Name) : HUNTER C REEVE BCBA
Provider Business Mailing Address
First Line : 1701 OLD MINDEN RD STE 21
Second Line :
City : BOSSIER CITY
State : LA
Zip : 71111-4846
Country : US
Telephone Number : 318-408-1664
Fax Number :
Provider Business Practice Location Address
First Line : 1701 OLD MINDEN RD STE 21
Second Line :
City : BOSSIER CITY
State : LA
Zip : 71111-4846
Country : US
Telephone Number : 318-408-1664
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/08/2025
Last Update Date : 01/08/2025

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Directions to “ HUNTER C REEVE BCBA” Practice Location

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