Organization
REGALADO THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIERRA E REGALADO BCBA (EXECUTIVE DIRECTOR)
(208) 697-3845
Entity
Organization
Contact information
Practice address
15234 CASTLE WAY, CALDWELL, ID 83607-8254
(208) 697-3845
Mailing address
15234 CASTLE WAY, CALDWELL, ID 83607-8254
(208) 697-3845
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
01/23/2024
Last updated
01/23/2024
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