Breanna Lee Schultz
Behavior Technician in Bridgeport, MI. Individual provider (NPI-1).
NPI number1053019232
StatusActive
Last updated in NPPESFeb 17, 2023
Details
- NPI
- 1053019232
- Entity type
- Individual (NPI-1)
- Name
- Breanna Lee Schultz
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 17, 2023
- Certification date
- Feb 14, 2023
- Last updated
- Feb 17, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
6296 Briidgeport Village Square DriveSuite 2
Bridgeport, MI 48722
Phone 989-401-1239
Mailing address
5039 Villa Linde Pkwy Ste 30Flint, MI 48532-3450
Phone 989-401-2244
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