Individual
REAGAN N MCCLELLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6801 JEFFERSON ST NE STE 150, ALBUQUERQUE, NM 87109-4379
(505) 403-6589
(505) 944-1927
Mailing address
6801 JEFFERSON ST NE STE 150, ALBUQUERQUE, NM 87109-4379
(505) 403-6589
(505) 944-1927
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-439244
NM
106S00000X
Behavior Technician
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Other
Enumeration date
04/22/2025
Last updated
05/29/2025
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