Provider Demographics
NPI:1396190930
Name:REED BEHAVIOR SUPPORT, LLC
Entity Type:Organization
Organization Name:REED BEHAVIOR SUPPORT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:REED
Authorized Official - Suffix:
Authorized Official - Credentials:MA, BCBA, LBA
Authorized Official - Phone:530-524-8729
Mailing Address - Street 1:3720 SW BOND AVE UNIT 1816
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97239-4576
Mailing Address - Country:US
Mailing Address - Phone:530-524-8729
Mailing Address - Fax:
Practice Address - Street 1:3720 SW BOND AVE UNIT 1816
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97239-4576
Practice Address - Country:US
Practice Address - Phone:530-524-8729
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:REED BEHAVIOR SUPPORT, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-05-02
Last Update Date:2016-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
No251S00000XAgenciesCommunity/Behavioral Health
No252Y00000XAgenciesEarly Intervention Provider Agency