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Amanda Reynaga

Behavior Technician in Avondale, AZ. Individual provider (NPI-1).

NPI number1104698455
StatusActive
Last updated in NPPESOct 30, 2023

Details

NPI
1104698455
Entity type
Individual (NPI-1)
Name
Amanda Reynaga
Sex
Female
Sole proprietor
No
Enumeration date
Oct 30, 2023
Certification date
Oct 29, 2023
Last updated
Oct 30, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

10320 W McDowell Rd Ste K1136
Avondale, AZ 85392-4876

Phone 855-223-7123

Mailing address

Po Box 33568
San Diego, CA 92163-3568

Phone 855-223-7123

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