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Individual

ADONIS REYES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
500 ALFRED NOBEL DR STE 275, HERCULES, CA 94547-1838
(510) 230-5007
Mailing address
500 ALFRED NOBEL DR STE 275, HERCULES, CA 94547-1838
(510) 230-5007

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1801356787
MEDICAL
Enumeration date
03/06/2026
Last updated
03/06/2026
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