Individual
CHELSTIENE REEVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3469 QUINCY AVE APT B, OGDEN, UT 84403-1150
(801) 258-1693
Mailing address
3469 QUINCY AVE APT B, OGDEN, UT 84403-1150
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
11/16/2020
Last updated
11/16/2020
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