Provider Demographics
NPI:1366744351
Name:REECE, NATALIE (MED, BCBA)
Entity type:Individual
Prefix:
First Name:NATALIE
Middle Name:
Last Name:REECE
Suffix:
Gender:F
Credentials:MED, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1811 GRAND CANAL BLVD
Mailing Address - Street 2:SUITE #2
Mailing Address - City:STOCKTON
Mailing Address - State:CA
Mailing Address - Zip Code:95207-8107
Mailing Address - Country:US
Mailing Address - Phone:209-696-5104
Mailing Address - Fax:
Practice Address - Street 1:141 E HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:TRACY
Practice Address - State:CA
Practice Address - Zip Code:95376-3614
Practice Address - Country:US
Practice Address - Phone:530-570-5329
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-11-23
Last Update Date:2016-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst