Individual
BREANNA DALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
664 POWERS AVE, ANNISTON, AL 36205-4419
(256) 847-5942
Mailing address
664 POWERS AVE, ANNISTON, AL 36205-4419
(256) 847-5942
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2023-002
AL
106E00000X
Assistant Behavior Analyst
0-22-13879
AL
Other
Enumeration date
10/18/2022
Last updated
01/13/2023
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