Healthcare Provider Details

I. General information

NPI: 1245823053
Provider Name (Legal Business Name): MR. RICHARD AARON REED
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/12/2021
Last Update Date: 05/14/2024
Certification Date: 05/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4301 S PINE ST STE 505
TACOMA WA
98409-7208
US

IV. Provider business mailing address

950 BROADWAY STE 301
TACOMA WA
98402
US

V. Phone/Fax

Practice location:
  • Phone: 253-292-4354
  • Fax:
Mailing address:
  • Phone: 253-292-4354
  • Fax: 855-373-4004

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: