Individual
BREANNA DEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
1120 GORDON LN, SANTA ROSA, CA 95404-5636
(707) 527-3249
Mailing address
1120 GORDON LN, SANTA ROSA, CA 95404-5636
(707) 527-3249
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
07/24/2025
Last updated
07/24/2025
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