Individual
REED RYLE PIKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
114 ELM ST NE, ALBUQUERQUE, NM 87102-3638
(505) 485-6654
Mailing address
114 ELM ST NE, ALBUQUERQUE, NM 87102-3638
(505) 485-6654
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
967397232
UNITED HEALTH CARE
NM
Enumeration date
07/25/2018
Last updated
07/25/2018
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