Individual
BREANNA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
2906 GINNALA DR, LOVELAND, CO 80538-2700
(970) 744-6674
Mailing address
2906 GINNALA DR, LOVELAND, CO 80538-2700
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/22/2025
Last updated
09/22/2025
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