Provider Demographics
NPI:1982963104
Name:REEVES, SAYDEKON ALPHEAUS CHARLES
Entity Type:Individual
Prefix:MR
First Name:SAYDEKON ALPHEAUS
Middle Name:CHARLES
Last Name:REEVES
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5520 E BLARNEY PL APT 20
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57110-3714
Mailing Address - Country:US
Mailing Address - Phone:267-588-8301
Mailing Address - Fax:
Practice Address - Street 1:5520 E BLARNEY PL APT 20
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57110-3714
Practice Address - Country:US
Practice Address - Phone:267-588-8301
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-08
Last Update Date:2024-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
No172A00000XOther Service ProvidersDriver