Amanda Nicole Reyes

Individual provider Active NPI Behavior Technician · Malakoff, TX

NPI 1265308787 · NPPES record last updated Dec 2, 2025

Key facts

NPI
1265308787
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
License
RBT-25-495313 (TX)
Practice address
5553 Sam Houston Dr
Malakoff, TX 75148-3743
Phone
(903) 804-5951
NPI assigned
Oct 13, 2025
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
RBT-25-495313TXMDBehavior Technician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-25-495313 TX Yes

Addresses

Primary practice location

5553 Sam Houston Dr
Malakoff, TX 75148-3743

Mailing address

5553 Sam Houston Dr
Malakoff, TX 75148-3743
Phone (903) 804-5951

Other providers in Malakoff, TX

All providers in Malakoff, TX · Behavior Technician in Texas

Sources for this page

Verify at the official NPI Registry.