Individual
FABIAN REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
912 NE KELLY AVE # 100C, GRESHAM, OR 97030-5629
(503) 912-5502
Mailing address
21600 OXNARD ST STE 1800, WOODLAND HILLS, CA 91367-7807
(818) 345-2345
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
ABA-AB-10215420
OR
106E00000X
Assistant Behavior Analyst
—
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Other
Enumeration date
03/07/2019
Last updated
07/08/2021
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