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NPI Code Detail

MEDICARE: SOFIA REYES PIO

MEDICARE: SOFIA REYES PIO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst1-24-73986CA

General Provider Information

NPI Number : 1376361303
Entity Type Code : Individual
Provider Name (Legal Business Name) : SOFIA REYES PIO
Provider Business Mailing Address
First Line : 2707 W EMPIRE AVE
Second Line :
City : BURBANK
State : CA
Zip : 91504-3212
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2707 W EMPIRE AVE
Second Line :
City : BURBANK
State : CA
Zip : 91504-3212
Country : US
Telephone Number : 747-329-7202
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/30/2024
Last Update Date : 09/30/2024

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Directions to “ SOFIA REYES PIO ” Practice Location

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