Individual
BREANNA C JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BT
Contact information
Practice address
2288 BLUE WATER BLVD STE 310, ODENTON, MD 21113-3301
(410) 630-6936
Mailing address
1500 S DOUGLAS RD STE 230, CORAL GABLES, FL 33134-4108
(844) 854-1116
(305) 846-9711
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11431442750
—
MD
Enumeration date
06/16/2021
Last updated
06/16/2021
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