Provider Demographics
NPI:1811368236
Name:FRANKLIN, REGGIONNE JONSHA'
Entity Type:Individual
Prefix:
First Name:REGGIONNE
Middle Name:JONSHA'
Last Name:FRANKLIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2061 CYPRESS ACRES DR
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70114-4901
Mailing Address - Country:US
Mailing Address - Phone:504-615-9494
Mailing Address - Fax:
Practice Address - Street 1:3420 KABEL DRIVE
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70131-4901
Practice Address - Country:US
Practice Address - Phone:504-394-5937
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-10-12
Last Update Date:2015-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst