Individual
BREANNA SHANEA EGGEHORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
10515 ARMONIA RANCH CT, COLORADO SPRINGS, CO 80908-4403
(626) 736-3434
Mailing address
4840 RANCH DR, COLORADO SPRINGS, CO 80918-4148
(626) 736-3434
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-14-17186
CO
171M00000X
Case Manager/Care Coordinator
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Other
Enumeration date
07/11/2011
Last updated
03/26/2025
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