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NPI Code Detail

MEDICARE: ALEJANDRO ROSAS REYES

MEDICARE: ALEJANDRO ROSAS REYES
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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1457961658
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEJANDRO ROSAS REYES
Provider Business Mailing Address
First Line : 2601 MARBER AVE
Second Line :
City : LONG BEACH
State : CA
Zip : 90815-1137
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2601 MARBER AVE
Second Line :
City : LONG BEACH
State : CA
Zip : 90815-1137
Country : US
Telephone Number : 562-377-1027
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/03/2020
Last Update Date : 06/13/2024

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Directions to “ ALEJANDRO ROSAS REYES ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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