Individual
BREANNA NEWBORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6040 I 55 N FRONTAGE, JACKSON, MS 39211
(601) 760-0976
Mailing address
6295 OLD CANTON RD APT 1A, JACKSON, MS 39211-2933
(601) 597-8397
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
170041
MS
103K00000X
Behavior Analyst
7986
TX
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/03/2015
Last updated
06/26/2025
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