Theresa Regan

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

1690 Davis Dr
Merritt Island, FL 32952-5933

Phone

(855) 832-6727

Fax

(772) 675-9100

NPI assigned

Apr 25, 2018

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1524614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524614400000",
    "number": "1508354564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1690 DAVIS DR",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329525933",
            "telephone_number": "855-832-6727",
            "fax_number": "772-675-9100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1690 DAVIS DR",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329525933",
            "telephone_number": "855-832-6727",
            "fax_number": "772-675-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REGAN",
        "first_name": "THERESA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-25",
        "last_updated": "2018-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Rathgeber
• Anna Rittgers Ratkus, D.P.T.
• Raj M Rawal, B.D.S.
• Sundeep Raj Rawal, D.M.D.
• Robert C Rawls
• Diane Marie Reid-Van Asdale, OTR/L, CHT
• Yunileydys Reina
• Rejuvenate With Grace, Inc.
• Restoration Medicine LLC
• Diana Harris Revolinski, RN

• Behavior Technician in Merritt Island, FL
• Providers in Merritt Island, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.