MEDICARE: YADIRA MARTINEZ 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	M236826596000	FL
2	106S00000X	Behavior Technician	M236826596000	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	:	1932614005
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YADIRA MARTINEZ REYES

Provider Business Mailing Address
First Line	:	15450 SW 46TH LN
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33185-5223
Country	:	US
Telephone Number	:	786-618-8087
Fax Number	:

Provider Business Practice Location Address
First Line	:	15450 SW 46TH LN
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33185-5223
Country	:	US
Telephone Number	:	786-618-8087
Fax Number	:

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

Provider Enumeration Date	:	12/11/2017
Last Update Date	:	12/22/2025

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Directions to “ YADIRA MARTINEZ REYES ” Practice Location

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