Brogan, Regan
Brogan, Regan is an individual health care provider with primary practice located at 4440 Viking Dr Ste 400 , Bossier City LA 71111-7511. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Brogan, Regan can be contacted via phone (318) 588-8908.Contact Information
Primary practice address
4440 Viking Dr Ste 400
Bossier City LA 71111-7511
Phone: (318) 588-8908
Fax: (318) 588-8909
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | R-11070 | Louisiana |
Profile Details
| NPI number | 1518683309 |
|---|---|
| LBN Legal business name | Brogan, Regan |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 13th, 2022 |
| Last updated | Oct 13th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518683309 | NPPES |
| Louisiana | Other | RBT-22-239182 | BACB |
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