Individual
MRS. BREEANNA N MOTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1771 E FLAMINGO RD STE 220A, LAS VEGAS, NV 89119-0850
(702) 369-9828
Mailing address
2040 COLUMBIA ST APT 524, SAN DIEGO, CA 92101-8406
(619) 823-8253
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/16/2024
Last updated
05/16/2024
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