# BRECK BUTLER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1518591734
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106S00000X | Behavior Technician | — | NULL | Yes |

## Other

- **Enumeration date:** 02/26/2020
- **Last updated:** 02/26/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | IN-10206298 | OR BARB RBAI | OR |
| 01 | — | RBT-20-113268 | RBT | OR |