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General NPI Number Information
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NPI Number | 1417107350
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Entity Type | Individual
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Provider Name | CAROL ELIZABETH REEVES BCBA
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Gender | Female
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Dates
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Enumeration Date | 09/29/2008
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Last Update Date | 06/25/2025
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Provider Practice Location Address
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Address Line | 316 SPRING BRANCH CT
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City | PURCELLVILLE
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State | VA
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Zip | 20132-7231
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Country | US
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Telephone | 703-635-9075
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Fax |
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Provider Business Mailing Address
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Address Line | 316 SPRING BRANCH CT
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City | PURCELLVILLE
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State | VA
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Zip | 20132-7231
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Country | US
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Telephone | 703-635-9075
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TM1800X
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Taxonomy Name | Intellectual & Developmental Disabilities Psychologist
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License Number | 0-07-2427
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 0133000242
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License Number State | VA
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