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NPI Code Detail

MEDICARE: ALANDA REEDER

MEDICARE:   ALANDA  REEDER
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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1508638529
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALANDA REEDER
Provider Business Mailing Address
First Line : 636 COUNCIL ST APT 301
Second Line :
City : WILMINGTON
State : NC
Zip : 28403-0390
Country : US
Telephone Number : 704-978-9213
Fax Number :
Provider Business Practice Location Address
First Line : 5101 DUNLEA CT STE 201C
Second Line :
City : WILMINGTON
State : NC
Zip : 28405-4436
Country : US
Telephone Number : 910-899-6064
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/24/2023
Last Update Date : 10/24/2023

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Directions to “ ALANDA REEDER ” Practice Location

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