MEDICARE: NICOLLE ANNE GRACE COLLINS REYES RBT

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-23-	NV

General Provider Information

NPI Number	:	1639865587
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NICOLLE ANNE GRACE COLLINS REYES RBT

Provider Business Mailing Address
First Line	:	1060 WIGWAM PKWY
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89074-8162
Country	:	US
Telephone Number	:	702-547-6971
Fax Number	:	702-547-6948

Provider Business Practice Location Address
First Line	:	5765 S RAINBOW BLVD # 211
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89118-2536
Country	:	US
Telephone Number	:	702-547-6971
Fax Number	:	702-547-6948

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

Provider Enumeration Date	:	04/13/2023
Last Update Date	:	04/13/2023

Similar Medicare Providers

1457497539 — HOSPICE OF LAS VEGAS, INC.
Practice Location Address:

5765 S RAINBOW BLVD , SUITE 111
LAS VEGAS, NV
89118-2536

Practice Phone: 702-853-9063
Practice Fax:

1265946925 — LITTLE LEMONS THERAPY LLC
Practice Location Address:

5765 S RAINBOW BLVD STE 101-102
LAS VEGAS, NV
89118-2536

Practice Phone: 702-412-8578
Practice Fax: 725-205-2904

1871248138 — MR. DAMIAN BAUM
Practice Location Address:

5765 S RAINBOW BLVD STE 101-102
LAS VEGAS, NV
89118-2536

Practice Phone: 702-412-8578
Practice Fax:

1255081212 — PUI LAM BERINDA KUO RBT
Practice Location Address:

5765 S RAINBOW BLVD # 112
LAS VEGAS, NV
89118-2536

Practice Phone: 702-547-6971
Practice Fax: 702-547-6948

1972285815 — JORDAN DAWON SIMONTON-BROWNE RBT
Practice Location Address:

5765 S RAINBOW BLVD
LAS VEGAS, NV
89118-2536

Practice Phone: 702-547-6971
Practice Fax: 702-547-6948

1972367738 — JAZMIN TORRES
Practice Location Address:

5765 S RAINBOW BLVD STE 101-102
LAS VEGAS, NV
89118-2536

Practice Phone: 702-412-8578
Practice Fax:

Directions to “ NICOLLE ANNE GRACE COLLINS REYES RBT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.