Individual
ANNETTE SANDRA REECE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LBA, BCBA
Contact information
Practice address
107 MELROSE ST, BRISTOL, TN 37620-3846
(276) 274-3888
Mailing address
107 MELROSE ST, BRISTOL, TN 37620-3846
(276) 274-3888
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-33601
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0133001301
VIRGINIA DEPARTMENT OF HEALTH
VA
01
—
1-18-33601
BEHAVIOR ANALYST CERTIFICATION BOARD
—
Enumeration date
01/18/2019
Last updated
01/18/2019
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