Individual
REGINALD SHANNON SEECHARAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCABA
Contact information
Practice address
700 JAMES CIR NE, PALM BAY, FL 32905
(321) 961-7898
Mailing address
700 JAMES CIR NE, PALM BAY, FL 32905-5613
(321) 961-7898
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-17-7660
CO
106S00000X
Behavior Technician
RBT-16-18414
FL
222Q00000X
Developmental Therapist
—
—
Other
Enumeration date
05/17/2015
Last updated
08/04/2018
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