Individual
BREANNA LEIGH TACEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
900 CENTER AVE, BAY CITY, MI 48708-6189
(989) 778-0127
Mailing address
1414 CORNELL ST, BAY CITY, MI 48708-5561
(989) 450-1940
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
7401001084
MI
106S00000X
Behavior Technician
—
MI
Other
Enumeration date
11/19/2019
Last updated
05/23/2022
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