Individual
REAGAN LEE DICKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
204 W TUSCALOOSA ST, FLORENCE, AL 35630-5428
(256) 202-4885
Mailing address
11181 HIGHWAY 17, FLORENCE, AL 35634-5117
(256) 810-8912
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-391807
AL
Other
Enumeration date
11/14/2024
Last updated
11/14/2024
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