Individual
MS. BREANNA MARIE GUGGENHEIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, TXLBA, MT-BC
Contact information
Practice address
207 PATRIOT PKWY, FORNEY, TX 75126-4748
(318) 655-0214
Mailing address
207 PATRIOT PKWY, FORNEY, TX 75126-4748
(318) 655-0214
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
6447
TX
225A00000X
Music Therapist
—
—
Other
Enumeration date
12/19/2023
Last updated
11/15/2024
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