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NPI Code Detail

MEDICARE: REECE HASSELL BCBA, LBA

MEDICARE:   REECE  HASSELL  BCBA, LBA
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 Analyst2067TN

General Provider Information

NPI Number : 1740910231
Entity Type Code : Individual
Provider Name (Legal Business Name) : REECE HASSELL BCBA, LBA
Provider Business Mailing Address
First Line : 2795 INDEPENDENCE LOOP
Second Line :
City : LEXINGTON
State : TN
Zip : 38351-6085
Country : US
Telephone Number : 502-633-1007
Fax Number :
Provider Business Practice Location Address
First Line : 79 SAND PEBBLE DR STE A
Second Line :
City : JACKSON
State : TN
Zip : 38305-7591
Country : US
Telephone Number : 855-444-5664
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2022
Last Update Date : 12/22/2025

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