Individual
ALLYSON WANDELL REID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2375 EAST CAMELBACK ROAD SUITE 600, PHOENIX, AZ 85016
(602) 584-9860
Mailing address
229 STEDMAN ST, LOWELL, MA 01851-2705
(978) 677-6952
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BEH-000360
AZ
106S00000X
Behavior Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BEH-000360
BOARD OF BEHAVIORAL HEALTH EXAMINERS
AZ
Enumeration date
05/11/2017
Last updated
04/19/2023
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