Annette Sandra Reece, LBA, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-18-33601

Practice address

107 Melrose St
Bristol, TN 37620-3846

Phone

(276) 274-3888

NPI assigned

Jan 18, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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 and National Provider Directory roles.

• New Patterns VA LLC

  • Behavior Analyst
  • Henrico, VA
  • NPI 1790557015
  NPD (past)

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

{
    "created_epoch": "1547769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547769600000",
    "number": "1881168227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 MELROSE ST",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376203846",
            "telephone_number": "276-274-3888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 MELROSE ST",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376203846",
            "telephone_number": "276-274-3888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REECE",
        "first_name": "ANNETTE",
        "middle_name": "SANDRA",
        "credential": "LBA, BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-18",
        "last_updated": "2019-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-18-33601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEHAVIOR ANALYST CERTIFICATION BOARD",
            "identifier": "1-18-33601",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIRGINIA DEPARTMENT OF HEALTH",
            "identifier": "0133001301",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelsee Rawson, BCABA
• Mary Barbara Raykowitz, LPC
• Ready Set Grow Pediatric Therapy LLC
• Scottie Reagan II, DDS
• Donald Smith Redford, D.D.S.
• Renaissance Surgery Center, LLC
• Michael Wayne Rentz, MD
• Inger L Reynolds, CRNA
• Robert David Reynolds Jr., APRN
• Robert Scott Reynolds, PT, ATC

• Behavior Analyst in Bristol, TN
• Providers in Bristol, TN by specialty
• Behavior Analyst in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2019; 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.