Individual provider Active NPI

Benjamin Paul R Delos Reyes

  • Assistant Behavior Analyst
  • Fairfield, CA
National Provider Identifier
1730968645
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assistant Behavior AnalystTaxonomy code 106E00000X
License
0-26-16801 Issued in CA
Practice address
243 Tabor Ave Apt 7
Fairfield, CA 94533-3294
Phone
(845) 300-0663
NPI assigned
Sep 28, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-22-249545 CA
Assistant Behavior Analyst 106E00000X 0-26-16801 CA Primary

Addresses

Primary practice location

243 Tabor Ave Apt 7
Fairfield, CA 94533-3294

Mailing address

300 American Canyon Rd Apt H
American Canyon, CA 94503-1216
Phone (845) 300-0066

Other practice location 1

7108 S Kanner Hwy
Stuart, FL 34997-7462
Phone (855) 832-6727

Other practice location 2

1150 S King Rd # 152
San Jose, CA 95122-2139
Phone (408) 622-9222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RBT-22-249545CAMDBehavior Technician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1695859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778457600000",
    "number": "1730968645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 AMERICAN CANYON RD APT H",
            "city": "AMERICAN CANYON",
            "state": "CA",
            "postal_code": "945031216",
            "telephone_number": "845-300-0066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 TABOR AVE APT 7",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945333294",
            "telephone_number": "845-300-0663"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7108 S Kanner Hwy",
            "address_purpose": "LOCATION",
            "city": "Stuart",
            "state": "FL",
            "postal_code": "349977462",
            "country_code": "US",
            "telephone_number": "855-832-6727",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1150 S King Rd # 152",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951222139",
            "country_code": "US",
            "telephone_number": "408-622-9222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELOS REYES",
        "first_name": "BENJAMIN PAUL",
        "middle_name": "R",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-28",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": "RBT-22-249545",
            "primary": false
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "CA",
            "license": "0-26-16801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.