Individual
REY VILLASENOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2009 GREENE ST APT 513, COLUMBIA, SC 29205-1683
(803) 665-0351
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
(803) 665-3051
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
10/02/2023
Last updated
10/02/2023
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