Individual
BREASIA KIRKLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7016 CORPORATE WAY, WASHINGTON TOWNSHIP, OH 45459-4300
(937) 951-2084
Mailing address
7016 CORPORATE WAY, WASHINGTON TOWNSHIP, OH 45459-4300
(937) 951-2084
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2910854
—
OH
Enumeration date
08/02/2023
Last updated
03/04/2024
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