Individual
AMANDA ROSE REYNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3028 BEACON ST NE, SALEM, OR 97301-8520
(503) 983-5025
Mailing address
3028 BEACON ST NE, SALEM, OR 97301-8520
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/02/2013
Last updated
09/02/2013
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