MEDICARE: MAYELIN DOCTSCH 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	106S00000X	Behavior Technician	RBT-24-331880	FL

General Provider Information

NPI Number	:	1386402352
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAYELIN DOCTSCH REYES

Provider Business Mailing Address
First Line	:	6638 NW 180TH TER
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33015-4409
Country	:	US
Telephone Number	:	786-241-1345
Fax Number	:

Provider Business Practice Location Address
First Line	:	6638 NW 180TH TER
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33015-4409
Country	:	US
Telephone Number	:	786-241-1345
Fax Number	:

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

Provider Enumeration Date	:	03/13/2024
Last Update Date	:	02/22/2026

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Directions to “ MAYELIN DOCTSCH REYES ” Practice Location

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