Regina N. Bickham, BA, MACMHC

Behavior Technician · Lagrange, GA

Individual Active NPI

NPI number 1609364983

Practice location

122 Gordon Commercial Dr Ste C
Lagrange, GA 30240-5754
Phone
(706) 845-4045
Fax
(706) 845-4367

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NPI record

NPI
1609364983
Entity type
Individual (Type 1)
Enumeration date
April 23, 2018
Last updated
April 23, 2018
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Technician Primary 106S00000X — —

Mailing address

5365 Brickleberry Way
Douglasville, GA 30134-4045
Phone
(678) 925-9422

About Regina Bickham

Regina N. Bickham, BA, MACMHC is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Technician (code 106S00000X). The practice location is 122 Gordon Commercial Dr Ste C, Lagrange, GA 30240-5754. The NPI number 1609364983 was assigned on April 23, 2018 and the record was last updated on April 23, 2018.

Frequently asked questions

What is the NPI number of Regina N. Bickham, BA, MACMHC?

The NPI number is 1609364983.

What is the phone number of Regina Bickham?

The phone number listed for the practice location is (706) 845-4045.

Where is Regina Bickham located?

122 Gordon Commercial Dr Ste C, Lagrange, GA 30240-5754.

What is the taxonomy code for Regina Bickham?

The primary taxonomy code is 106S00000X – Behavior Technician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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