Individual
MRS. BRYANA MARIE REYNOSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
505 SAN MARIN DR STE 100B, NOVATO, CA 94945-1309
(628) 250-7500
Mailing address
21600 OXNARD ST STE 1800, WOODLAND HILLS, CA 91367-7807
(818) 345-2345
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-40947
CA
103K00000X
Behavior Analyst
1-20-40947
—
106E00000X
Assistant Behavior Analyst
—
—
Other
Enumeration date
07/09/2018
Last updated
08/14/2024
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