Individual
BRENDA MAZARIEGOS REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1150 S OLIVE ST, LOS ANGELES, CA 90015-2211
(213) 542-2266
Mailing address
725 N ARDMORE AVE, LOS ANGELES, CA 90029-3311
(323) 622-9786
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/14/2020
Last updated
02/20/2026
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