Individual
TATYANA REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 BROOKHILL SQ S, SUGARLOAF, PA 18249-1016
(973) 164-6057
Mailing address
122 SAINT MARYS DR, FREELAND, PA 18224-3017
(570) 790-1916
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/28/2022
Last updated
02/28/2022
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