Individual
MRS. REGINA BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ASSOCIATE COUNSELOR
Contact information
Practice address
1478 OLD CENTRAL RD, GREENVILLE, AL 36037-6159
(334) 382-5736
(334) 382-0330
Mailing address
1478 OLD CENTRAL RD, GREENVILLE, AL 36037-6159
(334) 382-5736
(334) 382-0330
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
2889
AL
Other
Enumeration date
03/20/2019
Last updated
03/20/2019
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