Individual
BREANNA FAYE GLEASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
107 N 3RD AVE, DURANT, OK 74701-4700
(580) 706-6936
Mailing address
5 BURT TRL, CALERA, OK 74730-3017
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-457658
TX
Other
Enumeration date
10/09/2025
Last updated
10/09/2025
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