Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jaquelina Andrea Reyes

Individual provider Child Mental Illness Respite Care · NPI 1700411576

Jaquelina Andrea Reyes is a Child Mental Illness Respite Care in Buckeye, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

25279 W Centre Ave
Buckeye, AZ 85326-2468
Phone: (310) 985-9501
Fax: (602) 455-4624
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foster Care Agency (primary) Taxonomy 253J00000X · Licence 2656335 (AZ)
Child Mental Illness Respite Care Taxonomy 385HR2055X · Licence 2656335 (AZ)

Record details

NPI number1700411576
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 11, 2020
Last updated in NPPESMarch 11, 2020
Certification dateMarch 11, 2020

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