Healthcare Provider Details

I. General information

NPI: 1174442057
Provider Name (Legal Business Name): JULIET REED
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

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

III. Provider practice location address

1071 LAKE BALDWIN LN UNIT 112
ORLANDO FL
32814-6821
US

IV. Provider business mailing address

1071 LAKE BALDWIN LN UNIT 112
ORLANDO FL
32814-6821
US

V. Phone/Fax

Practice location:
  • Phone: 330-531-0152
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-26-543021
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: