Individual
BREANNA PENNISTON-JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
2021 S JONES BLVD STE 110, LAS VEGAS, NV 89146-3137
(702) 779-3626
(702) 779-3724
Mailing address
2021 S JONES BLVD STE 110, LAS VEGAS, NV 89146-3137
(702) 779-3626
(702) 779-3724
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-26-88262
NV
106S00000X
Behavior Technician
RBT-20-142379
NV
Other
Enumeration date
07/23/2020
Last updated
03/27/2026
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