Medalian Reyes
Behavior Technician in Pembroke Pines, FL. Individual provider (NPI-1).
NPI number1295244366
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1295244366
- Entity type
- Individual (NPI-1)
- Name
- Medalian Reyes
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 21, 2017
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
3601 Sw 93rd AvePembroke Pines, FL 33025-1765
Phone 954-558-8701
Mailing address
3601 Sw 93rd AvePembroke Pines, FL 33025-1765
Phone 954-558-8701
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