Individual
BREANA KENNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
537 9TH ST, EUREKA, CA 95501
(707) 269-2001
Mailing address
904 G ST, EUREKA, CA 95501-1829
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
Primary
172V00000X
CA
Other
Enumeration date
02/19/2019
Last updated
01/05/2021
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