Individual
MARIAH N REGALADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS BCBA
Contact information
Practice address
1834 FIELDS BLVD, GREENFIELD, IN 46140-3029
(866) 610-0580
Mailing address
1827 E IRELAND RD, SOUTH BEND, IN 46614-2845
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-42797
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103065700
—
FL
Enumeration date
01/30/2018
Last updated
11/11/2024
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