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General NPI Number Information
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NPI Number | 1891566386
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Entity Type | Individual
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Provider Name | KRISTINE REGALADO
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Gender | Female
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Dates
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Enumeration Date | 01/12/2024
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Last Update Date | 01/12/2024
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Provider Practice Location Address
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Address Line | 315 W ELLIOT RD STE 106
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City | TEMPE
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State | AZ
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Zip | 85284-1328
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Country | US
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Telephone | 602-909-8630
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Fax |
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Provider Business Mailing Address
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Address Line | 19767 W VERDE LN
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City | BUCKEYE
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State | AZ
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Zip | 85396-1299
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Country | US
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Telephone | 480-272-4846
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-23-66905
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License Number State | AZ
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