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Individual

BREONNA KOPAC

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1300 5TH AVE, FREEDOM, PA 15042
(724) 630-4073
Mailing address
1300 5TH AVE, FREEDOM, PA 15042-1808

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
103K00000X
Behavior Analyst
Primary
BH005775
PA
103K00000X
Behavior Analyst
RBT-16-22692
CA
103K00000X
Behavior Analyst
106S00000X
Behavior Technician

Other

Enumeration date
09/23/2016
Last updated
03/25/2022
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