Individual
DIANA REAGIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1481 DEAN FOREST RD BLDG 100, SAVANNAH, GA 31405-9342
(912) 434-4343
(912) 452-9600
Mailing address
1 DIAMOND CAUSEWAY, SUITE 21 - 121, SAVANNAH, GA 31406-9515
(912) 434-4343
(912) 452-9600
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
18-64436
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-23-65473
BACB CREDENTIALING BOARD
—
01
—
18-64436
RBT CERTIFICATION - RELIAS LEARNING
—
Enumeration date
08/04/2020
Last updated
06/16/2023
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