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Nicole Huerta Reyes

Behavior Technician in Moreno Valley, CA. Individual provider (NPI-1).

NPI number1104737337
StatusActive
Last updated in NPPESSep 16, 2026

Details

NPI
1104737337
Entity type
Individual (NPI-1)
Name
Nicole Huerta Reyes
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 16, 2026
Certification date
Sep 16, 2026
Last updated
Sep 16, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician–CAYes

Practice location

11920 Ivy Ln
Moreno Valley, CA 92557-6528

Phone 951-385-2795

Mailing address

11920 Ivy Ln
Moreno Valley, CA 92557-6528

Phone 951-385-2795

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