Nathaniel E K Reeder

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

1358 Blue Oaks Blvd Ste 300
Roseville, CA 95678-7040

Phone

(916) 676-0488

NPI assigned

Mar 27, 2024

Last updated

Mar 27, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pacific Autism Learning Services, Inc

  • Community/Behavioral Health Agency
  • San Mateo, CA
  • NPI 1336435734
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1711497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711497600000",
    "number": "1730930967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1822 4TH ST",
            "city": "LINCOLN",
            "state": "CA",
            "postal_code": "956482327",
            "telephone_number": "916-301-5716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1358 BLUE OAKS BLVD STE 300",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956787040",
            "telephone_number": "916-676-0488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REEDER",
        "first_name": "NATHANIEL",
        "middle_name": "E K",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-03-27",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sivakumar Reddy, MD
• Swathi Reddy, M.D.
• Anginette Redmond
• David Reed
• Krista Marie Reed, MA
• Pamela Lynn Reeder
• Keby Reese, MSW
• Christine Reeves, ASW
• Reeves, D.D.S. and Lavalley, D.D.S., a Dental Corporation (Kids Care Dental & Orthodontics - West Roseville)
• Reeves, DDS and Lavalley, DDS, a Dental Corporation (Kids Care Dental & Orthodontics - Roseville)

• Behavior Technician in Roseville, CA
• Providers in Roseville, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.