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Breanne McInish

Behavior Technician in Antioch, CA. Individual provider (NPI-1).

NPI number1093591968
StatusActive
Last updated in NPPESSep 6, 2023

Details

NPI
1093591968
Entity type
Individual (NPI-1)
Name
Breanne McInish
Sex
Female
Sole proprietor
No
Enumeration date
Sep 6, 2023
Certification date
Sep 6, 2023
Last updated
Sep 6, 2023

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

4849 Lone Tree Way
Suite C
Antioch, CA 94531-8644

Phone 303-989-8169

Mailing address

4849 Lone Tree Way
Suite C
Antioch, CA 94531-8644

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Behavior Technician providers in Antioch, CA

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