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Individual

BRIANNA KOOP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCBA

Contact information

Practice address
188 GREENFIELD LN, CASTALIAN SPRINGS, TN 37031-4751
(615) 415-3517
Mailing address
136 HIGHWAY 259, PORTLAND, TN 37148-4235
(507) 313-2056

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
07/24/2024
Last updated
07/24/2024
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