Individual
BREANA BECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
23 WEST ST # 1150, ASHLAND, NH 03217-4219
(603) 968-7452
Mailing address
23 WEST ST # 1150, ASHLAND, NH 03217-4219
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
15-08185
NH
Other
Enumeration date
05/25/2021
Last updated
05/25/2021
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