| Doctor Name: | MR. JAVIER MANUEL REYNOSO |
| NPI Number: | 1649476797 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | RASI |
| License Number: | RI-R0704121445 |
| Business Practice Address: | 535 Marina Blvd Pittsburg, CA - 945652102 |
| Business Phone Number: | 9254397111 |
| Business Fax Number: | |
| Mailing Address: | 134 Hastings Ave, VALLEJO |
| State: | CA |
| Postal Code: | 945891729 |
| Phone Number: | 7075531376 |
| Fax Number: | |
| NPI Enumeration Date: | 06/25/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | RI-R0704121445 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |