Nicole Reynaga

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-21-52552 Issued in FL

Practice address

1909 Hillbrooke TRL Ste 3
Tallahassee, FL 32311-7902

Phone

(855) 832-6727

Fax

(772) 675-9100

NPI assigned

Jan 30, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1517270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633046400000",
    "number": "1306344890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7108 S KANNER HWY",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349977462",
            "telephone_number": "855-832-6727",
            "fax_number": "772-675-9100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1909 HILLBROOKE TRL STE 3",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323117902",
            "telephone_number": "855-832-6727",
            "fax_number": "772-675-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNAGA",
        "first_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-30",
        "last_updated": "2021-10-01",
        "certification_date": "2021-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-21-52552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elena Danielle Reyes-Runyon, LMHC, BCBA
• Ana Lilian Reyes, MD
• Margaret Mary Reyes, DNP, APRN, PMHNP-BC
• Oliver Reyes, DO
• Gizem Reyhanoglu
• Bruce Grahlmann Reynolds III, MD
• Jennifer Reynolds, APRN-C
• Kenosha Lashunn Reynolds, MS.,MSW, RCSWI
• Krista Brown Reynolds
• Paul D Reynolds, D.P.M.

• Behavior Analyst in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.