Individual
BREANA ANTHONY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11607 SOUTHFORK AVE, BATON ROUGE, LA 70816-5220
(225) 999-0262
Mailing address
2212 MARTIN AVE, BATON ROUGE, LA 70802-1428
(225) 999-0262
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
LA
Other
Enumeration date
03/11/2025
Last updated
03/11/2025
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