Provider Demographics
NPI:1518534007
Name:REEVES, AMY BRIANA
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:BRIANA
Last Name:REEVES
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 1:1080 DONATION DR
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23455-6164
Mailing Address - Country:US
Mailing Address - Phone:757-831-5404
Mailing Address - Fax:
Practice Address - Street 1:908 SALISBURY GRN
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23452-6123
Practice Address - Country:US
Practice Address - Phone:310-309-1091
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-04
Last Update Date:2021-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician