Individual
BREANNA NICOLE CASEY-RIVERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2222 S. DOBSON RD, BLDG 9, MESA, AZ 85202-1526
(602) 926-7200
Mailing address
2222 S. DOBSON RD, BLDG 9, MESA, AZ 85202-1526
(602) 926-7200
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/25/2023
Last updated
10/25/2023
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