Individual
AMBER REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
601 S LAKE DESTINY RD STE 350, MAITLAND, FL 32751-7222
(737) 346-3334
Mailing address
601 S LAKE DESTINY RD STE 350, MAITLAND, FL 32751-7222
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB1073377
TX
Other
Enumeration date
06/25/2024
Last updated
10/03/2024
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