Individual
ALEX REGENOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
1860 NW 118TH ST STE 100, CLIVE, IA 50325-8278
(515) 402-4130
Mailing address
1860 NW 118TH ST STE 100, CLIVE, IA 50325-8278
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
123016
IA
106S00000X
Behavior Technician
—
—
Other
Enumeration date
09/23/2021
Last updated
02/07/2024
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