Individual
KRISTEN BREAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1250 SW RAILROAD AVE STE 130, HAMMOND, LA 70403-5013
(985) 500-3042
Mailing address
21600 OXNARD ST STE 1800, WOODLAND HILLS, CA 91367-7807
(818) 345-2345
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
00005128
LA
106S00000X
Behavior Technician
Primary
R-2115
LA
Other
Enumeration date
02/07/2018
Last updated
02/07/2018
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