Individual
BRIANNA VANFOSSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
204 MOUNTAIN VIEW RD, LANDRUM, SC 29356-9457
(908) 200-8152
Mailing address
204 MOUNTAIN VIEW RD, LANDRUM, SC 29356-9457
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/19/2025
Last updated
12/19/2025
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