Individual
ALFONSO REYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
16782 VON KARMAN AVE STE 11, IRVINE, CA 92606-2417
(855) 223-7123
Mailing address
PO BOX 740780, ATLANTA, GA 30374-0780
(855) 223-7123
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-47140
CA
106S00000X
Behavior Technician
407723
CA
106S00000X
Behavior Technician
—
CA
Other
Enumeration date
03/14/2018
Last updated
07/15/2026
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