Provider Demographics
NPI:1063388916
Name:THOMAS, REGINA SCHANTEL
Entity type:Individual
Prefix:
First Name:REGINA
Middle Name:SCHANTEL
Last Name:THOMAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5105 NUEVO LN
Mailing Address - Street 2:
Mailing Address - City:KILLEEN
Mailing Address - State:TX
Mailing Address - Zip Code:76549-6859
Mailing Address - Country:US
Mailing Address - Phone:254-317-3735
Mailing Address - Fax:
Practice Address - Street 1:5105 NUEVO LN
Practice Address - Street 2:
Practice Address - City:KILLEEN
Practice Address - State:TX
Practice Address - Zip Code:76549-6859
Practice Address - Country:US
Practice Address - Phone:254-317-3735
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-16
Last Update Date:2025-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst