Organization
PREMIER BEHAVIORAL HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BREONNA MABRY BCBA, LBA (FOUNDER)
(760) 809-7804
Entity
Organization
Contact information
Practice address
3107 CABIN RUN, WOODBINE, MD 21797-7933
(760) 809-7804
Mailing address
3107 CABIN RUN, WOODBINE, MD 21797-7933
(760) 809-7804
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
02/17/2022
Last updated
02/17/2022
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