Individual
BREANNA MICHELLE DASH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3150 ROSWELL RD NW APT 1708, ATLANTA, GA 30305-2131
(404) 455-9757
Mailing address
3150 ROSWELL RD NW APT 1708, ATLANTA, GA 30305-2131
(404) 455-9757
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-50011
GA
Other
Enumeration date
02/04/2019
Last updated
12/23/2021
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