Provider Demographics
NPI:1316385818
Name:REED, TATIANA RAQUEL
Entity Type:Individual
Prefix:MS
First Name:TATIANA
Middle Name:RAQUEL
Last Name:REED
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1301 W HEFNER RD
Mailing Address - Street 2:APT 1701
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73114-7129
Mailing Address - Country:US
Mailing Address - Phone:312-659-7414
Mailing Address - Fax:
Practice Address - Street 1:1301 W HEFNER RD
Practice Address - Street 2:APT 1701
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73114-7129
Practice Address - Country:US
Practice Address - Phone:312-659-7414
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-06
Last Update Date:2013-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst