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NPI Code Detail

MEDICARE: MR. PETE ANDREW REYES

MEDICARE:  MR. PETE ANDREW 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
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1376895490
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. PETE ANDREW REYES
Provider Business Mailing Address
First Line : 7939 NAPIER ST
Second Line :
City : LAS VEGAS
State : NV
Zip : 89131-4603
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5550 PAINTED MIRAGE RD
Second Line : 320
City : LAS VEGAS
State : NV
Zip : 89149-4581
Country : US
Telephone Number : 702-900-5561
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/12/2012
Last Update Date : 10/12/2012

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Directions to “ MR. PETE ANDREW REYES ” Practice Location

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