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Individual

BREANA DENISE PARKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2412 COMPTROLLERS CT, PRINCE FREDERICK, MD 20678-4340
(443) 550-3232
Mailing address
850 TOWBIN AVE, LAKEWOOD, NJ 08701-5928

Taxonomy

Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-25-16598

Other

Enumeration date
06/09/2022
Last updated
11/05/2025
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