| NPI | 1851809511 |
|---|---|
| Former Name | REGINA LYNN MCDADE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: VA 00002031) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: VA RBT-17-41190) |
| Enumeration Date | 2018-01-16 |
| Last Update Date | 2018-01-16 |