Reyes, Marlon

Reyes, Marlon is an sole proprietor health care provider with primary practice located at 40 Garden Dr , Lodi CA 95242-2863. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Reyes, Marlon can be contacted via phone (209) 371-1147.

Contact Information

Primary practice address
40 Garden Dr Lodi CA 95242-2863
Phone: (209) 371-1147
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1770829855
LBN Legal business name Reyes, Marlon
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 18th, 2012
Last updated Apr 5th, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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