Individual
REGAN ROOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., BCBA
Contact information
Practice address
1 N BACTON HILL RD, SUITE 105, FRAZER, PA 19355-1047
(215) 322-8860
Mailing address
1 BACTON HILL ROAD, SUITE 105, FRAZER, PA 19355
(215) 322-8860
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/02/2013
Last updated
10/02/2013
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