Individual
MS. BREANNA KAY RADER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
301 E MAIN ST STE 1, WILLOW SPRINGS, MO 65793-1423
(573) 883-6761
(417) 815-9405
Mailing address
301 E MAIN ST STE 1, WILLOW SPRINGS, MO 65793-1423
(573) 883-6761
(417) 815-9405
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
20-110633
MO
Other
Enumeration date
01/22/2020
Last updated
01/22/2020
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