Individual
BREANNA TONGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8860 BELAIR RD, NOTTINGHAM, MD 21236-2401
(443) 330-7900
Mailing address
8860 BELAIR RD, NOTTINGHAM, MD 21236-2401
(443) 330-7900
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/22/2022
Last updated
11/23/2022
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