Healthcare Provider Details

I. General information

NPI: 1992627046
Provider Name (Legal Business Name): DAKOTAH REED RBT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1431B WEEKSVILLE RD
ELIZABETH CITY NC
27909-8431
US

IV. Provider business mailing address

3126 W CARY ST ATLANTIC AUTISM SERVICES, INC BOX 116
RICHMOND VA
23221
US

V. Phone/Fax

Practice location:
  • Phone: 252-677-5100
  • Fax: 252-677-5110
Mailing address:
  • Phone: 252-677-5100
  • Fax: 252-677-5110

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: