Individual
BREEANA NICOLE HUITRADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., BCBA
Contact information
Practice address
612 S MYRTLE AVE # 100, MONROVIA, CA 91016-3406
(800) 207-0272
Mailing address
612 S MYRTLE AVE # 100, MONROVIA, CA 91016-3406
(800) 207-0272
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-53790
CA
Other
Enumeration date
11/10/2021
Last updated
11/20/2024
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