Individual
MICAH MAGDALYN REEVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
759 W CHURCH ST, LEXINGTON, TN 38351-1738
(731) 968-0071
Mailing address
623 WEAVER ST, LEXINGTON, TN 38351-1661
(731) 798-6732
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-340621
TN
Other
Enumeration date
06/26/2025
Last updated
06/26/2025
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