Individual
BRIANNA RENE LAVOIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
113G N MARINE BLVD, JACKSONVILLE, NC 28540-6508
(910) 389-0901
Mailing address
113G N MARINE BLVD, JACKSONVILLE, NC 28540-6508
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-136719
—
Other
Enumeration date
09/30/2020
Last updated
09/30/2020
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