Individual
JENNIFER BREITRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15-1867 4TH AVE, KEAAU, HI 96749-9674
(808) 756-4773
Mailing address
15-1867 4TH AVE, KEAAU, HI 96749
(808) 756-4773
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-21-56406
HI
103K00000X
Behavior Analyst
Primary
1-21-56406
—
Other
Enumeration date
01/20/2022
Last updated
10/24/2022
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