Jose Manuel Reyes Rivera III
Day Training/Habilitation Specialist in Brentwood, CA. Individual provider (NPI-1).
NPI number1013645274
StatusActive
Last updated in NPPESNov 14, 2025
Details
- NPI
- 1013645274
- Entity type
- Individual (NPI-1)
- Name
- Jose Manuel Reyes Rivera III
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 15, 2022
- Certification date
- Nov 14, 2025
- Last updated
- Nov 14, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 373H00000X | Day Training/Habilitation Specialist | – | CA | Yes |
Practice location
1191 Central Blvd Ste ABrentwood, CA 94513-2253
Phone 855-223-7123
Mailing address
16782 Von Karman Ave Ste 11Irvine, CA 92606-2417
Phone 855-223-7123 · Fax 619-374-7134
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All 10 Day Training/Habilitation Specialist providers in Brentwood · All 1,442 providers in Brentwood
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