Reginald Ade
Individual provider Active NPI Behavior Technician · Lake Mary, FL
NPI 1235958265 · NPPES record last updated Oct 7, 2024
Key facts
- NPI
- 1235958265
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 200 Waymont CT
Lake Mary, FL 32746-3413 - Phone
- (407) 890-8883
- NPI assigned
- Oct 7, 2024
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
200 Waymont CT
Lake Mary, FL 32746-3413
Mailing address
200 Waymont CT
Lake Mary, FL 32746-3413
Phone (407) 890-8883
Other providers in Lake Mary, FL
- Acorn Health of Florida, LLC
- Leslie Diane Acreman
- Acuphysio360, LLC
- Digmory Lizzie Adair
- Angela Denise Adams
- Adebola Kafayat Adegbenro
- Ogechukwu Adekweh
- Monica Adhav
- Advanced Endodontics of Lake Mary
- Advanced Healthcare Staffing Solutions, LLC
All providers in Lake Mary, FL · Behavior Technician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 7, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.