Individual
REGNALDO WASHINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
212 S MAIN ST, NEWTON, MS 39345-2613
(601) 401-2700
Mailing address
212 S MAIN ST, NEWTON, MS 39345-2613
(601) 401-2700
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/13/2022
Last updated
09/13/2022
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