Active NPI
Ana Teresa Reyes, BCBA
- Behavior Analyst
- West Covina, CA
National Provider Identifier
1942562616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1095023
- Practice address
- 1232 E Service Ave
West Covina, CA 91790-3857 - Phone
- (626) 483-2307
- NPI assigned
- Jun 8, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1095023 | CA | Primary |
Addresses
Primary practice location
1232 E Service Ave
West Covina, CA 91790-3857
Mailing address
1232 E Service Ave
West Covina, CA 91790-3857
Phone (626) 483-2307
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1095023 | CA | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424822400000",
"number": "1942562616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1232 E SERVICE AVE",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917903857",
"telephone_number": "626-483-2307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1232 E SERVICE AVE",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917903857",
"telephone_number": "626-483-2307"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYES",
"first_name": "ANA",
"middle_name": "TERESA",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-08",
"last_updated": "2015-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "1095023",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Covina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.