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NPI Code Detail

MEDICARE: REGENA ROBINSON

MEDICARE:   REGENA  ROBINSON
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
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1801225867
Entity Type Code : Individual
Provider Name (Legal Business Name) : REGENA ROBINSON
Provider Business Mailing Address
First Line : 2600 TEALWOOD DR APT 1013
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73120-1784
Country : US
Telephone Number : 469-766-1329
Fax Number :
Provider Business Practice Location Address
First Line : 2600 TEALWOOD DR APT 1013
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73120-1784
Country : US
Telephone Number : 469-766-1329
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/10/2013
Last Update Date : 11/10/2013

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Directions to “ REGENA ROBINSON ” Practice Location

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