Individual
SHANNON O'REGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
325 HERBERTSVILLE RD, BRICK, NJ 08724-1713
(732) 836-3322
Mailing address
743 AUDREY DR, RAHWAY, NJ 07065-3739
(908) 472-8972
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-12-10235
—
Other
Enumeration date
04/03/2012
Last updated
04/03/2012
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