Individual
BREANNA BEARDSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6225 SMITH AVE, BALTIMORE, MD 21209-3626
(401) 369-0000
Mailing address
6 NELSON ST, WEBSTER, MA 01570-1814
(774) 280-9200
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/01/2020
Last updated
10/01/2020
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