Individual
BENJAMIN PAUL R DELOS REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
243 TABOR AVE APT 7, FAIRFIELD, CA 94533-3294
(845) 300-0663
Mailing address
300 AMERICAN CANYON RD APT H, AMERICAN CANYON, CA 94503-1216
(845) 300-0066
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-26-16801
CA
106S00000X
Behavior Technician
RBT-22-249545
CA
Other
Enumeration date
09/28/2023
Last updated
05/11/2026
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