Active NPI
Sandy Reeson
- Behavior Analyst
- Keller, TX
National Provider Identifier
1417406281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 2653
- Practice address
- 773 Bandit TRL
Keller, TX 76248-0111 - Phone
- (830) 399-5364
- NPI assigned
- Sep 22, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 2653 | TX | Primary |
Addresses
Primary practice location
773 Bandit TRL
Keller, TX 76248-0111
Mailing address
5040 Cassidy LN
Fort Worth, TX 76244-9171
Phone (830) 399-5364
Other practice location 1
2104 Greenbriar Dr
Southlake, TX 76092-8355
Phone (830) 399-5364
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2653 | TX | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750032000000",
"number": "1417406281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5040 CASSIDY LN",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "762449171",
"telephone_number": "830-399-5364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "773 BANDIT TRL",
"city": "KELLER",
"state": "TX",
"postal_code": "762480111",
"telephone_number": "830-399-5364"
}
],
"practiceLocations": [
{
"address_1": "2104 Greenbriar Dr",
"address_purpose": "LOCATION",
"city": "Southlake",
"state": "TX",
"postal_code": "760928355",
"country_code": "US",
"telephone_number": "830-399-5364",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REESON",
"first_name": "SANDY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-22",
"last_updated": "2025-06-16",
"certification_date": "2025-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "TX",
"license": "2653",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Keller, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.