Individual
BREEANA HATFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3125 WILLOWCREEK RD, PORTAGE, IN 46368-4423
(574) 387-4313
Mailing address
215 RED COACH DR, MISHAWAKA, IN 46545-8307
(574) 387-4313
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-145311
IN
Other
Enumeration date
02/18/2025
Last updated
02/18/2025
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