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Reina L Collazo

Behavior Technician in Myrtle Beach, SC. Individual provider (NPI-1).

NPI number1538073085
StatusActive
Last updated in NPPESOct 1, 2026

Details

NPI
1538073085
Entity type
Individual (NPI-1)
Name
Reina L Collazo
Sex
Female
Sole proprietor
No
Enumeration date
Oct 1, 2026
Certification date
Oct 1, 2026
Last updated
Oct 1, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

400 N Kings Hwy Ste A
Myrtle Beach, SC 29577-3946

Phone 800-701-0498

Mailing address

400 N Kings Hwy Ste A
Myrtle Beach, SC 29577-3946

Phone 800-701-0498

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