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SAMUEL ANTONIO REYNOSO
NPI 1043036213
Specialist/Technologist - Speech-Language Assistant in Mesa, AZ

Active since December 03, 2024
2150 S COUNTRY CLUB DR, MESA, AZ 85210(480) 398-4280 Get Directions Write a Review

NPPES record last updated: December 3, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Samuel Antonio Reynoso NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMUEL ANTONIO REYNOSO (NPI 1043036213) is an individual speech-language assistant in Mesa, Arizona, licensed in Arizona (SLPA15782) and active in the NPI registry since December 2024.

NPPES Registry Identity

NPI1043036213
Entity TypeIndividualMale
Primary Taxonomy2355S0801X
Provider Legal NameSAMUEL ANTONIO REYNOSO
Location Address2150 S COUNTRY CLUB DRMesa, AZ 85210-6809
Mailing AddressPo Box 50218Phoenix, AZ 85076-0218 · (480) 398-4280 · Fax (844) 526-2649
Phone(480) 398-4280
Sole ProprietorYes
Enumeration DateDecember 3, 2024
NPPES CertifiedDecember 3, 2024
✔ NPI 1043036213 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Speech-Language AssistantSpeech, Language and Hearing Service Providers
Taxonomy Code2355S0801X
License✔ Licensed in AZ · SLPA15782
2150 S COUNTRY CLUB DR, Mesa, AZ 85210
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CONNOR JAMES SPECIALE
Behavior Technician
2150 S COUNTRY CLUB DR
MESA, AZ 85210
Maricopa County (619) 795-9925
MEKENZIE JOIRDAN SHRESTHA OTD, OTR/L
Occupational Therapist
2150 S COUNTRY CLUB DR
MESA, AZ 85210
Maricopa County (480) 404-9700
MRS. KATHRYN ALLISON BONGIANNI OTR/L
Occupational Therapist
2150 S COUNTRY CLUB DR, STE 20
MESA, AZ 85210
Maricopa County (480) 398-4280
CATALENA JADE VOGT COTA/L
Occupational Therapy Assistant
2150 S COUNTRY CLUB DR
MESA, AZ 85210
Maricopa County (480) 404-9700
MACEY RENEE PERRY
Behavior Technician
2150 S COUNTRY CLUB DR
MESA, AZ 85210
Maricopa County (619) 795-9925
STACEY MISARAY-DELIOT
Behavior Technician
2150 S COUNTRY CLUB DR
MESA, AZ 85210
Maricopa County (619) 795-9925
MRS. ESTEFANIA VASQUEZ SHOCKLEY OTR/L
Occupational Therapist
2150 S COUNTRY CLUB DR, SUITE 20
MESA, AZ 85210
Maricopa County (480) 404-9700
KACHINA BLASER
Behavior Technician
2150 S COUNTRY CLUB DR
MESA, AZ 85210
Maricopa County (619) 795-9925

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samuel Reynoso's NPI number?

The NPI number for Samuel Reynoso is 1043036213. It was assigned to this individual provider in the NPPES registry on December 3, 2024.

Where is Samuel Reynoso located?

Samuel Reynoso practices at 2150 S Country Club Dr, Mesa, AZ 85210. The listed phone number is (480) 398-4280.

What is Samuel Reynoso's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Speech-Language Assistant, with taxonomy code 2355S0801X.

When was this NPI record last updated?

The NPPES record for Samuel Reynoso was last updated on December 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.