Individual
ALEX REGENOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
950 28TH AVE SW, ALTOONA, IA 50009-3939
(515) 446-2075
Mailing address
1576 NW 102ND ST, CLIVE, IA 50325-6722
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
123016
IA
106S00000X
Behavior Technician
—
—
Other
Enumeration date
09/23/2021
Last updated
06/10/2026
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