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General NPI Number Information
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NPI Number | 1376040287
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Entity Type | Individual
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Provider Name | WILFREDO GUIBERT REYES BCBA
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Gender | Male
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Dates
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Enumeration Date | 04/07/2018
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Last Update Date | 01/31/2025
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Provider Practice Location Address
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Address Line | 3650 NW 36TH ST APT 803
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City | MIAMI
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State | FL
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Zip | 33142-4945
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Country | US
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Telephone | 786-389-7330
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Fax | 305-742-2190
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Provider Business Mailing Address
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Address Line | 3650 NW 36TH ST APT 803
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City | MIAMI
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State | FL
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Zip | 33142-4945
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Country | US
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Telephone | 786-389-7330
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Fax | 305-742-2190
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-19-40331
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License Number State | FL
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