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NPI Code Detail

MEDICARE: REGAN M FRELICH BCBA

MEDICARE: REGAN M FRELICH BCBA
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
2103K00000XBehavior Analyst

General Provider Information

NPI Number : 1760974356
Entity Type Code : Individual
Provider Name (Legal Business Name) : REGAN M FRELICH BCBA
Provider Business Mailing Address
First Line : 7526 E 82ND ST
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46256-1410
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7526 E 82ND ST
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46256-1410
Country : US
Telephone Number : 574-387-4313
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2018
Last Update Date : 05/13/2025

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Directions to “ REGAN M FRELICH BCBA” Practice Location

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