Individual
ALFONSO REYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
13950 MILTON AVE STE 200B, WESTMINSTER, CA 92683-2939
(714) 454-0614
Mailing address
13950 MILTON AVE STE 200B, WESTMINSTER, CA 92683-2939
(714) 454-0614
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-47140
CA
106S00000X
Behavior Technician
407723
CA
Other
Enumeration date
03/14/2018
Last updated
02/10/2021
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