Individual
CASEY ALEXANDRA BRENNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1360 CADUCEUS WAY BLDG 600, WATKINSVILLE, GA 30677-7300
(762) 499-3476
Mailing address
125 JENNINGS MILL PKWY APT 2102, ATHENS, GA 30606-7462
(505) 908-7452
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/02/2024
Last updated
12/02/2024
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