Individual provider · Type 1 NPI

Jacqueline Audrey Regist

Specialist · Glendale, NY

NPI number 1730518622 Active

Practice location

8866 Myrtle Ave
Glendale, NY 11385-7857

Fax (718) 850-1790

Mailing address

PO Box 100366
Brooklyn, NY 11210-0366

Specialties and licenses

TaxonomyCodeLicense
Behavior Analyst 103K00000XNone listed
Specialist Primary 174400000X214350 (NY)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1730518622

Jacqueline Audrey Regist's National Provider Identifier is 1730518622, issued on Nov 1, 2013. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Glendale, NY. The record was last updated on Oct 21, 2021.