Angel Reyes

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

24081 Sandy Glade Ave
Moreno Valley, CA 92557-5529

Phone

(951) 330-2444

NPI assigned

Dec 19, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Applied Behavior Autism Center LLC

  • Behavior Analyst
  • Moreno Valley, CA
  • NPI 1821623018
  NPD

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

{
    "created_epoch": "1671408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671408000000",
    "number": "1821700170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40389 MAYBERRY AVE APT 45",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925448735",
            "telephone_number": "951-550-1744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24081 SANDY GLADE AVE",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925575529",
            "telephone_number": "951-330-2444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "ANGEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-12-19",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corina Resabala Villacis
• Erica Respress
• Restore Mental Wellness, Licensed Clinical Social Worker, Inc
• Bonnie J. Retamozo, DDS, MSD
• Alejandro A Reyes
• Delia Zambrano Reyes, NP
• Guadalupe Reyes
• Richard Pantoja Reyna, LVN
• Ava E Reynolds
• Bryanna Marie Reynoso

• Behavior Technician in Moreno Valley, CA
• Providers in Moreno Valley, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2022; 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.