Individual
BRENNA ELIZABETH COTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
21 DUBOIS ST, WILLIAMSPORT, PA 17701-5034
(570) 692-2174
Mailing address
21 DUBOIS ST, WILLIAMSPORT, PA 17701-5034
(570) 692-2174
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-271293
PA
Other
Enumeration date
06/18/2024
Last updated
06/18/2024
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