Individual
MISS BREANNA MICHELLE MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
2945 WALTON WAY, AUGUSTA, GA 30909-3827
(706) 842-3279
(706) 842-3272
Mailing address
2945 WALTON WAY, AUGUSTA, GA 30909-3827
(706) 842-3279
(706) 842-3272
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-207459
GA
Other
Enumeration date
04/13/2022
Last updated
04/13/2022
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