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NPI Code Detail

MEDICARE: ELLA CORINNE REEVES

MEDICARE: ELLA CORINNE 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 TechnicianTX

General Provider Information

NPI Number : 1821988593
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELLA CORINNE REEVES
Provider Business Mailing Address
First Line : 8103 CASTLE PEAKE TRL
Second Line :
City : AUSTIN
State : TX
Zip : 78726-4043
Country : US
Telephone Number : 737-999-1017
Fax Number :
Provider Business Practice Location Address
First Line : 13500 MIDWAY RD STE 300
Second Line :
City : FARMERS BRANCH
State : TX
Zip : 75244-5136
Country : US
Telephone Number : 877-418-2978
Fax Number : 866-500-2186
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/05/2025
Last Update Date : 07/05/2025

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Directions to “ ELLA CORINNE REEVES ” Practice Location

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