Gardenia Reyes
Behavior Technician in Modesto, CA. Individual provider (NPI-1).
NPI number1124691985
StatusActive
Last updated in NPPESJul 20, 2021
Details
- NPI
- 1124691985
- Entity type
- Individual (NPI-1)
- Name
- Gardenia Reyes
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 20, 2021
- Certification date
- Jul 20, 2021
- Last updated
- Jul 20, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
1115 14th StModesto, CA 95354-1003
Phone 209-572-2589
Mailing address
Po Box 5157Modesto, CA 95352-5157
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