Reynaldo Madera
Cognitive & Behavioral Psychologist Behavior Technician
6416 Nw 5th Way
Fort Lauderdale
, Florida 33309
Reynaldo Madera
Cognitive & Behavioral Psychologist Behavior Technician
6416 Nw 5th Way
Fort Lauderdale
, Florida 33309
(305) 878-6462
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About
Features
Specialties
- Cognitive & Behavioral Psychologist
- Behavior Technician
Languages spoken
- English
Location
First Address
- Reynaldo Madera
- 16281 Sw 79th Ter
- Miami, FL
- Zip : 33193-3430
- Phone : (305) 878-6462
Second Address
- Reynaldo Madera
- 6416 Nw 5th Way
- Fort Lauderdale, FL
- Zip : 33309
- Phone : (888) 754-0398
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 103TB0200X | Cognitive & Behavioral Psychologist | ||
| Y | 106S00000X | Behavior Technician |
National Provider Identifier
| NPI | 1184179541 |
|---|---|
| Provider Name | Reynaldo Madera |
| First Address | Miami, FL 33193-3430 |
| Second Address | Fort Lauderdale, FL 33309 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/08/2016 |
| Last Update Date | 24/10/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.