Individual provider Active NPI

Anatasha Nicole Reynoso

  • Assistant Behavior Analyst
  • Orlando, FL
National Provider Identifier
1770107658
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assistant Behavior AnalystTaxonomy code 106E00000X
License
BACB588472 Issued in FL
Practice address
2000 N Alafaya TRL Ste 2000
Orlando, FL 32826-4739
Phone
(407) 574-2073
Fax
(407) 965-4263
NPI assigned
Jun 5, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assistant Behavior Analyst 106E00000X BACB588472 FL Primary

Addresses

Primary practice location

2000 N Alafaya TRL Ste 2000
Orlando, FL 32826-4739

Mailing address

2000 N Alafaya TRL Ste 2000
Orlando, FL 32826-4739
Phone (407) 574-2073

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
BACB588472FLMDAssistant Behavior Analyst

NPI Registry JSON

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

{
    "created_epoch": "1591315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779926400000",
    "number": "1770107658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 N ALAFAYA TRL STE 2000",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328264739",
            "telephone_number": "407-574-2073",
            "fax_number": "407-965-4263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 N ALAFAYA TRL STE 2000",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328264739",
            "telephone_number": "407-574-2073",
            "fax_number": "407-965-4263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOSO",
        "first_name": "ANATASHA",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-05",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "FL",
            "license": "BACB588472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2026; 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.