Individual
REAGAN NICOLE SHACKLETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10345 PROFESSIONAL CIR STE AAND125B, RENO, NV 89521-5862
(775) 348-7300
Mailing address
60 EL MOLINO CT, SPARKS, NV 89441-9245
(707) 293-7956
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/19/2024
Last updated
02/19/2024
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