Most Relevant Information
Provider Data
| NPI Number: | 1003518812 |
| Provider Name: | TRACI REEDER |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/17/2023 |
| Last Updated: | 03/17/2023 |
Provider Practice Location
1149 W 190TH ST STE 2200
GARDENA
CA
902484344
Practice Location Phone/Fax
| Phone: | 3108560800 |
| Fax: | 8555682494 |
Provider Mailing Location
1149 W 190TH ST STE 2200
GARDENA
CA
902484344
Provider Mailing Phone/Fax
| Phone: | 3108560800 |
| Fax: | 8555682494 |