Individual
STEVE REUPENA
Active
Individual
STEVE REUPENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
STEVE REUPENA
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
99-1222703
AZ
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
99-1222703
AZ
323P00000X
Psychiatric Residential Treatment Facility
99-1222703
AZ
Other
Enumeration date
02/16/2024
Last updated
08/12/2026
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