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NPI Code Detail

MEDICARE: YOHANNE REYES

MEDICARE: YOHANNE 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
1106S00000XBehavior Technician
2171M00000XCase Manager/Care CoordinatorFL

General Provider Information

NPI Number : 1922537943
Entity Type Code : Individual
Provider Name (Legal Business Name) : YOHANNE REYES
Provider Business Mailing Address
First Line : 19303 NW 46TH AVE
Second Line :
City : MIAMI GARDENS
State : FL
Zip : 33055-2160
Country : US
Telephone Number : 786-718-7138
Fax Number :
Provider Business Practice Location Address
First Line : 9900 STIRLING RD STE 103
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33024-8073
Country : US
Telephone Number : 954-300-2921
Fax Number : 954-901-2815
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2017
Last Update Date : 07/21/2022

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Directions to “ YOHANNE REYES ” Practice Location

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