Theresa Regan

NPI #1508354564 in Merritt Island, Florida

Provider Information

NPI Number: 1508354564
Entity Type: Individual
Name: Theresa Regan
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Apr 25, 2018
Last Updated: Apr 25, 2018

Practice Location

Address: 1690 DAVIS DR
City: Merritt Island
State: Florida
ZIP Code: 32952-5933
Phone: (855) 832-6727

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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