MRS. Jacqueline Audrey Regist

NPI #1730518622 in Glendale, New York

Provider Information

NPI Number: 1730518622
Entity Type: Individual
Name: MRS. Jacqueline Audrey Regist
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Enumeration Date: Nov 1, 2013
Last Updated: Oct 21, 2021

Practice Location

Address: 8866 MYRTLE AVE
City: Glendale
State: New York
ZIP Code: 11385-7857
Phone: (718) 850-0400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X
Specialist	174400000X	Primary

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