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Breeanna George

Behavior Technician in Taylorsville, UT. Individual provider (NPI-1).

NPI number1093451908
StatusActive
Last updated in NPPESMay 12, 2022

Details

NPI
1093451908
Entity type
Individual (NPI-1)
Name
Breeanna George
Sex
Female
Sole proprietor
Yes
Enumeration date
May 12, 2022
Certification date
May 12, 2022
Last updated
May 12, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

6013 S Redwood Rd
Taylorsville, UT 84123-5220

Phone 801-255-5131

Mailing address

6013 S Redwood Rd
Taylorsville, UT 84123-5220

Phone 801-255-5131

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