Most Relevant Information
Provider Data
| NPI Number: | 1003567520 |
| Provider Name: | CHELSEA L REAGAN |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/17/2022 |
| Last Updated: | 01/17/2022 |
Provider Practice Location
5454 LITHIA PINECREST RD
LITHIA
FL
335472853
Practice Location Phone/Fax
| Phone: | 8134679282 |
| Fax: |
Provider Mailing Location
300 INTERNATIONAL PKWY STE 200
LAKE MARY
FL
327465028
Provider Mailing Phone/Fax
| Phone: | 8666100580 |
| Fax: |