Individual
CHRISTINA REGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 CORNWELL DR, #214, YUKON, OK 73099-4518
(405) 394-2505
Mailing address
1000 CORNWELL DR, #214, YUKON, OK 73099-4518
(405) 394-2505
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/26/2017
Last updated
04/26/2017
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