Provider Demographics
NPI:1831977602
Name:HULAIS, REGAA YAHYA
Entity type:Individual
Prefix:
First Name:REGAA
Middle Name:YAHYA
Last Name:HULAIS
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 1:8526 LOVELAND LN
Mailing Address - Street 2:
Mailing Address - City:PALOS HILLS
Mailing Address - State:IL
Mailing Address - Zip Code:60465-1733
Mailing Address - Country:US
Mailing Address - Phone:773-679-5120
Mailing Address - Fax:
Practice Address - Street 1:8526 LOVELAND LN
Practice Address - Street 2:
Practice Address - City:PALOS HILLS
Practice Address - State:IL
Practice Address - Zip Code:60465-1733
Practice Address - Country:US
Practice Address - Phone:773-679-5120
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-21
Last Update Date:2023-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician