Individual
MIGUEL N REYES JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6930 ROOSEVELT RD., OAK PARK, IL 60304
(708) 358-3000
Mailing address
21600 OXNARD ST, WOODLAND HILLS, CA 91367-4976
(818) 345-2345
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
R20054097307
IL
Other
Enumeration date
01/10/2019
Last updated
01/10/2019
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