Individual
MADISON JOANN REIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1150 N BROOME ST, WAXHAW, NC 28173-9378
(908) 308-0555
Mailing address
3001 ROCHESTER CT., MONROE, NC 28110
(704) 320-8140
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
02/25/2019
Last updated
03/04/2025
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