Individual
REBECCA A BREHM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
205 WASHINGTON ST, BOWLER, WI 54416-9720
(920) 202-6318
Mailing address
205 WASHINGTON ST, BOWLER, WI 54416-9720
(920) 202-6318
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
385-140
WI
Other
Enumeration date
09/14/2020
Last updated
09/14/2020
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