Individual
BREANA LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17270 BEAR VALLEY RD, VICTORVILLE, CA 92395-7751
(909) 375-1836
(885) 891-9996
Mailing address
PO BOX 1475, SUGARLOAF, CA 92386-1475
(909) 375-1836
(885) 891-9996
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7079
CA
Other
Enumeration date
05/28/2026
Last updated
05/28/2026
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