Breanna James
Behavior Technician in South Portland, ME. Individual provider (NPI-1).
NPI number1124600523
StatusActive
Last updated in NPPESApr 25, 2021
Details
- NPI
- 1124600523
- Entity type
- Individual (NPI-1)
- Name
- Breanna James
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 25, 2021
- Certification date
- Apr 25, 2021
- Last updated
- Apr 25, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | 0706354 | ME | Yes |
Practice location
50 Donald B Dean Dr Ste BSouth Portland, ME 04106-3373
Phone 207-661-3600
Mailing address
13 Alling DrGray, ME 04039-9748
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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 South Portland, ME
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All 38 Behavior Technician providers in South Portland · All 1,510 providers in South Portland
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