Individual
MS. BRENNA GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3000 TRINITY DR APT 59, LOS ALAMOS, NM 87544-2340
(505) 412-9834
Mailing address
3000 TRINITY DR APT 59, LOS ALAMOS, NM 87544-2340
(505) 412-9834
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/26/2020
Last updated
12/26/2020
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