Brianna Mahoney
Behavior Technician in Jackson, WY. Individual provider (NPI-1).
NPI number1417536772
StatusActive
Last updated in NPPESApr 5, 2021
Details
- NPI
- 1417536772
- Entity type
- Individual (NPI-1)
- Name
- Brianna Mahoney
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 5, 2021
- Certification date
- Apr 5, 2021
- Last updated
- Apr 5, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | RBT21162866 | WY | Yes |
Practice location
310 E Broadway AveJackson, WY 83001-8636
Phone 307-257-5487
Mailing address
Po Box 11231Jackson, WY 83002-1231
Phone 307-257-5487
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Other Behavior Technician providers in Jackson, WY
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- Marsha Elizabeth HaleNPI 1619458056
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- Rebecca Manchester, RBTNPI 1679237390
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All 21 Behavior Technician providers in Jackson · All 813 providers in Jackson
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