Individual
BRIANNE LAUREL GERONDALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14999 SW ROYALTY PKWY APT P05, TIGARD, OR 97224-4058
(818) 438-2929
Mailing address
14999 SW ROYALTY PKWY APT P05, TIGARD, OR 97224-4058
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/24/2023
Last updated
07/24/2023
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