Carlie Alexis Breen, RBT 17-40767
Behavior Technician in Warren, MI. Individual provider (NPI-1).
NPI number1982194270
StatusActive
Last updated in NPPESMay 13, 2018
Details
- NPI
- 1982194270
- Entity type
- Individual (NPI-1)
- Name
- Carlie Alexis Breen
- Credential
- RBT 17-40767
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 13, 2018
- Last updated
- May 13, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | 17-40767 | MI | Yes |
Practice location
22477 Cunningham AveWarren, MI 48091-3635
Phone 586-335-5455
Mailing address
22477 Cunningham AveWarren, MI 48091-3635
Phone 586-335-5455
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