Individual
BREANNA DIANE HOLDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2806 GANO ST, GREAT BEND, KS 67530-7354
(620) 617-4901
Mailing address
2806 GANO ST, GREAT BEND, KS 67530-7354
(620) 617-4901
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/18/2023
Last updated
09/18/2023
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