Krystal Michaela Nicole Reagan

NPI #1922694306 in Rowlett, Texas

Provider Information

NPI Number: 1922694306
Entity Type: Individual
Name: Krystal Michaela Nicole Reagan
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Dec 18, 2020
Last Updated: Dec 18, 2020

Practice Location

Address: 9500 LAKEVIEW PKWY STE 300
City: Rowlett
State: Texas
ZIP Code: 75088-4561
Phone: (469) 458-9021

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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