Individual
BREANNA RAQUEL LIVINGSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7001 JOHNNYCAKE RD STE 106, WINDSOR MILL, MD 21244-2419
(984) 041-0774
Mailing address
7001 JOHNNYCAKE RD STE 106, WINDSOR MILL, MD 21244-2419
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/01/2024
Last updated
05/01/2024
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