Healthcare Provider Details

I. General information

NPI: 1316863269
Provider Name (Legal Business Name): ALYSSA REED
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/25/2026
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

528 ALBEMARLE DR STE 100
CHESAPEAKE VA
23322-5584
US

IV. Provider business mailing address

528 ALBEMARLE DR STE 100
CHESAPEAKE VA
23322-5584
US

V. Phone/Fax

Practice location:
  • Phone: 757-408-4924
  • Fax: 757-500-0132
Mailing address:
  • Phone: 757-408-4924
  • Fax: 757-500-0132

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-26-535488
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: