Individual
AMANDA NICOLE REYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5553 SAM HOUSTON DR, MALAKOFF, TX 75148-3743
(903) 804-5951
Mailing address
5553 SAM HOUSTON DR, MALAKOFF, TX 75148-3743
(903) 804-5951
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-495313
TX
Other
Enumeration date
10/13/2025
Last updated
12/02/2025
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