Individual
BREONA ALLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 MICHIGAN AVE, VISTA, CA 92084-5424
(760) 509-3379
Mailing address
200 MICHIGAN AVE, VISTA, CA 92084-5424
(760) 509-3379
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
103K00000X
Behavior Analyst
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/28/2015
Last updated
01/23/2020
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