Regan Blomquist
Behavior Technician in Melbourne, FL. Individual provider (NPI-1).
NPI number1003705658
StatusActive
Last updated in NPPESJun 30, 2025
Details
- NPI
- 1003705658
- Entity type
- Individual (NPI-1)
- Name
- Regan Blomquist
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 30, 2025
- Certification date
- Jun 30, 2025
- Last updated
- Jun 30, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
1435 Aurora RdMelbourne, FL 32935-5315
Phone 321-541-1970
Mailing address
1435 Aurora RdMelbourne, FL 32935-5315
Phone 321-541-1970
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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