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Individual

RICHIE REBOLIOS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1311 MAMARONECK AVE STE 150, WHITE PLAINS, NY 10605-5222
(914) 328-2868
Mailing address
22 BROADHOLLOW RD STE 402, MELVILLE, NY 11747-2516
(631) 385-7780

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
625923941
NY

Other

Enumeration date
02/10/2026
Last updated
02/10/2026
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