Individual
BREANNA M SANDEFUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
15290 SW ROYALTY PKWY, TIGARD, OR 97224
(971) 256-4050
Mailing address
21600 OXNARD ST STE 1800, WOODLAND HILLS, CA 91367-7807
(818) 345-2345
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
10212643
OR
106S00000X
Behavior Technician
RBT-19-96158
OR
106S00000X
Behavior Technician
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Other
Enumeration date
08/03/2017
Last updated
05/04/2021
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