Individual
REGAN GARDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCABA
Contact information
Practice address
6803 BALSAM ST, ARVADA, CO 80004-1932
(907) 250-5258
Mailing address
PO BOX 241224, ANCHORAGE, AK 99524-1224
(907) 250-5258
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
142471
AK
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-18-29174
BEHAVIOR ANALYSIS CERTIFICATION BOARD
—
01
—
142471
ALASKA DEPARTMENT OF COMMERCE, COMMUNITY AND ECONOMIC DEVELOPMENT
AK
Enumeration date
11/24/2014
Last updated
10/14/2020
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