Individual
BRENNA BURNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10926 S TRYON ST STE E, CHARLOTTE, NC 28273-4154
(855) 201-5498
Mailing address
120 PERSHING RD, ASHEVILLE, NC 28805-1914
(678) 764-4382
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
956289818L
—
NC
Enumeration date
09/02/2022
Last updated
09/02/2022
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