Individual
REGINA RADZICKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 MACKENAN DR, CARY, NC 27511-7903
(919) 371-2848
(919) 467-6777
Mailing address
48 AVONWOOD RD APT 106, AVON, CT 06001-2018
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1149532
CT
Other
Enumeration date
07/27/2015
Last updated
07/27/2015
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