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NPI Code Detail

MEDICARE: VANESSA NICOLE REIS

MEDICARE: VANESSA NICOLE REIS
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
2171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1992380380
Entity Type Code : Individual
Provider Name (Legal Business Name) : VANESSA NICOLE REIS
Provider Business Mailing Address
First Line : 444 GEORGIA ST
Second Line :
City : VALLEJO
State : CA
Zip : 94590-6005
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1116 LEGEND CIR
Second Line :
City : VALLEJO
State : CA
Zip : 94591-8679
Country : US
Telephone Number : 707-647-3972
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/17/2021
Last Update Date : 11/16/2023

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Directions to “ VANESSA NICOLE REIS ” Practice Location

Language Start Address Practice Location
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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