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Individual

BREANNA BENNETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3070 RIVERSIDE DR STE 200, COLUMBUS, OH 43221-2547
(866) 523-4268
Mailing address
DEPT LA 22763, PASADENA, CA 91185-2763
(614) 436-7837
(614) 515-5779

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
COBA.01068
OH

Other

Enumeration date
03/22/2018
Last updated
09/21/2022
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