Individual
BREANNA LYNN WIGGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
70 1/2 S 18TH ST, RICHMOND, IN 47374-5655
(765) 407-3485
Mailing address
70 1/2 S 18TH ST, RICHMOND, IN 47374-5655
(765) 977-8516
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
IN
Other
Enumeration date
02/08/2025
Last updated
02/08/2025
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