Karen Reynoso

Individual provider Active NPI Behavior Technician · Cross Roads, TX

NPI 1376348797 · NPPES record last updated Feb 18, 2025

Key facts

NPI
1376348797
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
License
RBT-19-94580 (TX)
Practice address
1325 Acmite Ave
Cross Roads, TX 76227-5581
Phone
(407) 927-2043
NPI assigned
Feb 18, 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-19-94580TXMDBehavior Technician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-19-94580 TX Yes

Addresses

Primary practice location

1325 Acmite Ave
Cross Roads, TX 76227-5581

Mailing address

1325 Acmite Ave
Cross Roads, TX 76227-5581
Phone (407) 927-2043

Other providers in Cross Roads, TX

All providers in Cross Roads, TX · Behavior Technician in Texas

Sources for this page

Verify at the official NPI Registry.