MEDICARE: AMBAR REYES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst	1-15-18948	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1922396134
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMBAR REYES

Provider Business Mailing Address
First Line	:	8001 SW 36TH ST
Second Line	:	SUITE 9
City	:	DAVIE
State	:	FL
Zip	:	33328-1915
Country	:	US
Telephone Number	:	954-577-7790
Fax Number	:	954-577-7780

Provider Business Practice Location Address
First Line	:	2520 CORAL WAY
Second Line	:	SUITE 2-19
City	:	MIAMI
State	:	FL
Zip	:	33145-3438
Country	:	US
Telephone Number	:	954-577-7790
Fax Number	:	954-577-7780

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/21/2011
Last Update Date	:	02/11/2026

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Directions to “ AMBAR REYES ” Practice Location

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