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Isela Reynoso

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

NPI number1669982245
StatusActive
Last updated in NPPESJun 14, 2019

Details

NPI
1669982245
Entity type
Individual (NPI-1)
Name
Isela Reynoso
Sex
Female
Sole proprietor
No
Enumeration date
Oct 9, 2017
Last updated
Jun 14, 2019

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician–CAYes

Practice location

3031 C St
Sacramento, CA 95816

Phone 916-442-2396

Mailing address

3031 C St
Sacramento, CA 95816-3326

Phone 916-442-2396

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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