Sara M Breckenridge
Behavior Technician in Louisville, KY. Individual provider (NPI-1).
NPI number1528782836
StatusActive
Last updated in NPPESSep 29, 2022
Details
- NPI
- 1528782836
- Entity type
- Individual (NPI-1)
- Name
- Sara M Breckenridge
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 29, 2022
- Certification date
- Sep 29, 2022
- Last updated
- Sep 29, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | RBT-22-224931 | KY | Yes |
Practice location
9943 Forest Green BlvdLouisville, KY 40223-5123
Phone 502-830-9454
Mailing address
3216 Ballard LnNew Albany, IN 47150-7200
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