Individual
BREA R MARRIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
6910 SILVERHEEL ST, SHAWNEE, KS 66226-5316
(913) 405-4550
(913) 273-2452
Mailing address
6910 SILVERHEEL ST, SHAWNEE, KS 66226-5316
(913) 405-4550
(913) 273-2452
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
22-225864
KS
Other
Enumeration date
10/14/2024
Last updated
10/14/2024
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