Individual
BRE'ANDRA FARMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 POMONA DR STE G, GREENSBORO, NC 27407-1636
(818) 241-6780
Mailing address
1055 E COLORADO BLVD STE 560, PASADENA, CA 91106-2380
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/24/2020
Last updated
09/24/2020
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