Marcie Reed

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

17-35109 Issued in CA

Practice address

7373 University Ave Ste 202
La Mesa, CA 91942-0524

Phone

(619) 713-0737

Fax

(619) 639-8277

NPI assigned

Jan 4, 2018

Last updated

Jan 11, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1515024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515628800000",
    "number": "1992212567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7373 UNIVERSITY AVE STE 202",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919420524",
            "telephone_number": "619-713-0737",
            "fax_number": "619-639-8277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7373 UNIVERSITY AVE STE 202",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919420524",
            "telephone_number": "619-713-0737",
            "fax_number": "619-639-8277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REED",
        "first_name": "MARCIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-04",
        "last_updated": "2018-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "17-35109",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": "17-35109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gwenyth Reciniello
• Scott Recksiedler, D.M.D.
• Reddiwandla Seenu Reddy, M.D., Inc. (R. Seenu Reddy, M.D.)
• Reddiwandla Seenu Reddy, M.D.
• Eric John Meyer Reed, MD
• Michelle Reed
• Cynthia Reese
• Faith Reeves-Austin, LPCC
• Reflections Central
• Reflections Day Treatment Center

• Behavior Technician in La Mesa, CA
• Providers in La Mesa, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2018; 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.