Individual
BREANNA DANIELLE COBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1300 BAXTER ST SUITE 450, CHARLOTTE, NC 28204
(616) 222-5607
Mailing address
2642 LASALLE ST, CHARLOTTE, NC 28216
(704) 840-4143
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NC
Other
Enumeration date
10/13/2025
Last updated
10/24/2025
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