Individual
BREANNA JAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
50 DONALD B DEAN DR STE B, SOUTH PORTLAND, ME 04106-3373
(207) 661-3600
Mailing address
13 ALLING DR, GRAY, ME 04039-9748
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
0706354
ME
Other
Enumeration date
04/25/2021
Last updated
04/25/2021
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