Individual
BREANNA DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2610 PLYMOUTH RD APT 212, JOHNSON CITY, TN 37601-9302
(423) 470-3414
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/22/2024
Last updated
03/22/2024
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