Individual
BREANNA HARTFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4825 58TH AVE N, CRYSTAL, MN 55429-2821
(612) 990-4929
Mailing address
8633 FAWN LAKE DR NE, STACY, MN 55079-9301
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/27/2022
Last updated
09/30/2022
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