DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: REGINA BRANUM

MEDICARE: REGINA BRANUM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1518827617
Entity Type Code : Individual
Provider Name (Legal Business Name) : REGINA BRANUM
Provider Business Mailing Address
First Line : 277 E AMADOR AVE STE 101
Second Line :
City : LAS CRUCES
State : NM
Zip : 88001-3675
Country : US
Telephone Number : 505-392-3482
Fax Number :
Provider Business Practice Location Address
First Line : 203 YMCA WAY
Second Line :
City : GLASGOW
State : KY
Zip : 42141-1195
Country : US
Telephone Number : 270-576-3736
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/12/2025
Last Update Date : 11/12/2025

Similar Medicare Providers

1972451821 — TYRONE FRANKLIN JR
Practice Location Address:
203 YMCA WAY
GLASGOW, KY
42141-1195
Practice Phone: 270-576-3736
Practice Fax:
1144175290 — DARRELL GREEN
Practice Location Address:
203 YMCA WAY
GLASGOW, KY
42141-1195
Practice Phone: 270-576-3736
Practice Fax:
1811567613 — KAYLA HUDSON
Practice Location Address:
203 YMCA WAY
GLASGOW, KY
42141-1195
Practice Phone: 270-576-3736
Practice Fax:
1396537312 — TYLER KIRBY
Practice Location Address:
203 YMCA WAY
GLASGOW, KY
42141-1195
Practice Phone: 727-486-6992
Practice Fax:
1548123755 — SHAMARIA WOODARD
Practice Location Address:
203 YMCA WAY
GLASGOW, KY
42141-1195
Practice Phone: 270-576-3736
Practice Fax:
1417811084 — STEPHANIE MORGAN
Practice Location Address:
203 YMCA WAY
GLASGOW, KY
42141-1195
Practice Phone: 270-576-3736
Practice Fax:

Directions to “ REGINA BRANUM ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.