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1104597749
ALEX REGENOLD
CLIVE, IA
NPI
1104597749
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: IA 123016)
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2021-09-23
Last Update Date
2024-02-07
Business Address
ALEX REGENOLD MSW
1860 NW 118TH ST STE 100
CLIVE, IA 50325-8278
Phone number: 515-402-4130
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Mailing Address
ALEX REGENOLD MSW
1860 NW 118TH ST STE 100
CLIVE, IA 50325-8278
Phone number:
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