Provider Demographics
NPI:1700534476
Name:REGAN, RHIANNA JEANNE
Entity Type:Individual
Prefix:
First Name:RHIANNA
Middle Name:JEANNE
Last Name:REGAN
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 1:24 BLACKTHORN PATH
Mailing Address - Street 2:
Mailing Address - City:FORESTDALE
Mailing Address - State:MA
Mailing Address - Zip Code:02644-1527
Mailing Address - Country:US
Mailing Address - Phone:508-927-2782
Mailing Address - Fax:
Practice Address - Street 1:436 STATION AVE
Practice Address - Street 2:
Practice Address - City:SOUTH YARMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02664-1208
Practice Address - Country:US
Practice Address - Phone:508-927-2782
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-12
Last Update Date:2022-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst