Individual
ANN BREWINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
617 FRANKLIN AVE, BERLIN, MD 21811-1358
(302) 212-7091
Mailing address
617 FRANKLIN AVE, BERLIN, MD 21811-1358
(302) 212-7091
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-228441
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
523411500
—
MD
Enumeration date
08/09/2022
Last updated
08/09/2022
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