Breanna Ledoux
Behavior Technician in Melbourne, FL. Individual provider (NPI-1).
NPI number1730791237
StatusActive
Last updated in NPPESAug 18, 2020
Details
- NPI
- 1730791237
- Entity type
- Individual (NPI-1)
- Name
- Breanna Ledoux
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 18, 2020
- Certification date
- Aug 18, 2020
- Last updated
- Aug 18, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | FL | Yes |
Practice location
475 S John Rodes BlvdMelbourne, FL 32904-1093
Phone 321-241-1170 · Fax 321-241-1171
Mailing address
475 S John Rodes BlvdMelbourne, FL 32904-1093
Phone 321-241-1170 · Fax 321-241-1171
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