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NPI Code Detail

MEDICARE: KENTRELLA REED

MEDICARE: KENTRELLA REED
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1457895039
Entity Type Code : Individual
Provider Name (Legal Business Name) : KENTRELLA REED
Provider Business Mailing Address
First Line : 2439 MANHATTAN BLVD STE 301
Second Line :
City : HARVEY
State : LA
Zip : 70058-5359
Country : US
Telephone Number : 504-309-4628
Fax Number :
Provider Business Practice Location Address
First Line : 2439 MANHATTAN BLVD STE 301
Second Line :
City : HARVEY
State : LA
Zip : 70058-5359
Country : US
Telephone Number : 504-309-4628
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/15/2016
Last Update Date : 12/15/2016

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Directions to “ KENTRELLA REED ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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