Individual
KIERRA E REGALADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IS
Contact information
Practice address
12427 S SUNRISE MIST LOOP, NAMPA, ID 83686-5463
(208) 697-3845
Mailing address
12427 S SUNRISE MIST LOOP, NAMPA, ID 83686-5463
(208) 697-3845
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
ID
Other
Enumeration date
07/26/2019
Last updated
07/26/2019
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