Individual
BREANNA NICOLE COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16409 NORTHCROSS DR, HUNTERSVILLE, NC 28078-5065
(980) 441-8200
Mailing address
10005 ROSE BROOK LN, HUNTERSVILLE, NC 28078-3379
(803) 372-2061
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/19/2024
Last updated
02/19/2024
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