Provider Demographics
NPI:1417107350
Name:REEVES, CAROL ELIZABETH (BCBA)
Entity type:Individual
Prefix:
First Name:CAROL
Middle Name:ELIZABETH
Last Name:REEVES
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:CAROL
Other - Middle Name:
Other - Last Name:WOODALL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:316 SPRING BRANCH CT
Mailing Address - Street 2:
Mailing Address - City:PURCELLVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:20132-7231
Mailing Address - Country:US
Mailing Address - Phone:703-635-9075
Mailing Address - Fax:
Practice Address - Street 1:316 SPRING BRANCH CT
Practice Address - Street 2:
Practice Address - City:PURCELLVILLE
Practice Address - State:VA
Practice Address - Zip Code:20132-7231
Practice Address - Country:US
Practice Address - Phone:703-635-9075
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-29
Last Update Date:2025-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0-07-2427103TM1800X
VA0133000242103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No103TM1800XBehavioral Health & Social Service ProvidersPsychologistIntellectual & Developmental Disabilities