Individual
SID REAVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1902 GREENWAY AVE N, COLUMBUS, OH 43219-2916
(404) 461-7179
Mailing address
1902 GREENWAY AVE N, COLUMBUS, OH 43219-2916
(404) 461-7179
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
OH
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/19/2024
Last updated
08/19/2024
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