Healthcare Provider Details

I. General information

NPI: 1801790886
Provider Name (Legal Business Name): ALDO ALEJANDRO GARCIA REYES RBT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3350 SW 148TH AVE STE 110-115
MIRAMAR FL
33027-3257
US

IV. Provider business mailing address

349 NW 10TH ST
POMPANO BEACH FL
33060-6085
US

V. Phone/Fax

Practice location:
  • Phone: 954-743-7919
  • Fax:
Mailing address:
  • Phone: 305-684-1891
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number2756604
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: