MEDICARE: MILES CAETANO REED

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

General Provider Information

NPI Number	:	1689564205
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MILES CAETANO REED

Provider Business Mailing Address
First Line	:	3204 KELTON AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90034-3002
Country	:	US
Telephone Number	:	310-866-7035
Fax Number	:

Provider Business Practice Location Address
First Line	:	3204 KELTON AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90034-3002
Country	:	US
Telephone Number	:	310-866-7035
Fax Number	:

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

Provider Enumeration Date	:	07/07/2025
Last Update Date	:	07/07/2025

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Directions to “ MILES CAETANO REED ” Practice Location

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