Individual
BRIANNA WINTERS DEREVJANIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
1522 17TH AVE E, TUSCALOOSA, AL 35404-4724
(207) 251-2828
Mailing address
1522 17TH AVE E, TUSCALOOSA, AL 35404-4724
(207) 251-2828
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/23/2024
Last updated
10/23/2024
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