Individual
MELISSA REYES AGUILAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1545 SAWTELLE BLVD STE 31, LOS ANGELES, CA 90025-3272
(949) 447-0816
Mailing address
1545 SAWTELLE BLVD STE 31, LOS ANGELES, CA 90025-3272
(323) 652-0707
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/21/2020
Last updated
12/02/2020
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