Individual
JACK M BRAHNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7220 W JEFFERSON AVE STE 202, LAKEWOOD, CO 80235-2023
(303) 225-7673
Mailing address
7220 W JEFFERSON AVE STE 202, LAKEWOOD, CO 80235-2023
(303) 225-7673
(866) 283-0595
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/06/2020
Last updated
05/06/2020
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