Healthcare Provider Details

I. General information

NPI: 1689517500
Provider Name (Legal Business Name): JULIET REEDY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/14/2026
Last Update Date: 04/14/2026
Certification Date: 04/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 N REYNOLDS RD.
BRYANT AR
72022
US

IV. Provider business mailing address

1712 JESSIE LN
MCKINNEY TX
75071-6487
US

V. Phone/Fax

Practice location:
  • Phone: 919-887-6176
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: