Individual
BREANNA CAMILLE KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED, BCBA
Contact information
Practice address
6065 S QUEBEC ST STE 100, CENTENNIAL, CO 80111-4575
(720) 259-5479
Mailing address
16974 E WYOMING DR, AURORA, CO 80017-5291
(808) 368-4412
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
12/20/2017
Last updated
06/15/2023
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