MEDICARE: PAMELA LYN REZA BCBA, LBA

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
1	103K00000X	Behavior Analyst	0133001513	VA

General Provider Information

NPI Number	:	1619518990
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAMELA LYN REZA BCBA, LBA

Provider Business Mailing Address
First Line	:	18025 GRAND PROSPERITY DR
Second Line	:
City	:	VENICE
State	:	FL
Zip	:	34293-4966
Country	:	US
Telephone Number	:	703-596-2237
Fax Number	:	540-744-1091

Provider Business Practice Location Address
First Line	:	1108 EDEN WAY N STE E
Second Line	:
City	:	CHESAPEAKE
State	:	VA
Zip	:	23320-3339
Country	:	US
Telephone Number	:	703-596-9332
Fax Number	:	540-744-1091

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/08/2019
Last Update Date	:	04/25/2024

Similar Medicare Providers

1841888047 — TREASURED HEARTS ABA LLC
Practice Location Address:

1108 EDEN WAY N STE E
CHESAPEAKE, VA
23320-3339

Practice Phone: 703-596-9332
Practice Fax: 540-744-1091

1861037723 — NATALIA VALENCIA
Practice Location Address:

1108 EDEN WAY N STE F
CHESAPEAKE, VA
23320-3339

Practice Phone: 757-663-6531
Practice Fax:

1255934618 — OLIVIA VAUGHAN RBT
Practice Location Address:

1108 EDEN WAY N
CHESAPEAKE, VA
23320-3339

Practice Phone: 703-596-9332
Practice Fax:

1104408012 — MARISA LEE THODE BCBA,LBA
Practice Location Address:

1108 EDEN WAY N
CHESAPEAKE, VA
23320-3339

Practice Phone: 219-902-0013
Practice Fax:

1588393888 — AMANDA ESCOBAR
Practice Location Address:

1108 EDEN WAY N
CHESAPEAKE, VA
23320-3339

Practice Phone: 703-596-9332
Practice Fax:

1992497044 — MR. TYLER KRETZLER MPH
Practice Location Address:

1108 EDEN WAY N
CHESAPEAKE, VA
23320-3339

Practice Phone: 703-520-6641
Practice Fax:

Directions to “ PAMELA LYN REZA BCBA, LBA” Practice Location

Language	Start Address	Practice Location

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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.