Provider Demographics
NPI:1700517224
Name:REYES, VALERIE EVE
Entity Type:Individual
Prefix:
First Name:VALERIE
Middle Name:EVE
Last Name:REYES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8901 CALDEN AVE APT 114
Mailing Address - Street 2:
Mailing Address - City:SOUTH GATE
Mailing Address - State:CA
Mailing Address - Zip Code:90280-2671
Mailing Address - Country:US
Mailing Address - Phone:323-470-4589
Mailing Address - Fax:
Practice Address - Street 1:8901 CALDEN AVE APT 114
Practice Address - Street 2:
Practice Address - City:SOUTH GATE
Practice Address - State:CA
Practice Address - Zip Code:90280-2671
Practice Address - Country:US
Practice Address - Phone:323-470-4589
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-24
Last Update Date:2022-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician