Angel Reyes | Moreno Valley, CA • PECOS Search

Angel Reyes

Behavior Technician

Behavioral Health & Social Service Providers

24081 Sandy Glade Ave, Moreno Valley, CA 92557-5529

(951) 330-2444 (951) 550-1744

PECOS Enrollment

Based on the most recent information from CMS, provider Angel Reyes does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1821700170
Provider Type
Individual
Full Name
Reyes, Angel
Gender
Male

Sole Proprietor
Yes
Enumeration Date
12/19/2022
Last Updated
12/19/2022

Contact Information

Practice Location

24081 Sandy Glade Ave, Moreno Valley, CA 92557-5529

Unlisted Fax

Mailing Location

40389 Mayberry Ave Apt 45, Hemet, CA 92544-8735

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 106S00000X Primary	Description Behavior Technician Behavioral Health & Social Service Providers	License Unlisted Issuer California