Individual
BREANNA NEWBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7504 E INDEPENDENCE BLVD STE 103, CHARLOTTE, NC 28227-9407
(888) 392-8642
Mailing address
5207 HOLBERT CIR, CHARLOTTE, NC 28269-0940
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/03/2024
Last updated
06/03/2024
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