| Provider / Organization | NPI | Date Certified |
|---|---|---|
| BREANNA ADAMS | 1811774003 | 2023-09-11 |
Breanna Adams is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1811774003. Registration indicates Breanna Adams is a provider of services with a specialization in Behavioral Health & Social Service Providers, Behavior Technician (Behavior Technician, Behavioral Health & Social Service Providers) (Behavior Technician, )
| Entity Type | Individual |
| Provider Name | Breanna Adams |
| Practice Office Address | 32395 CLINTON KEITH RD STE B12 WILDOMAR, CA US |
| Practice Office Telephone | 9512005532 |
| Mailing Address | 32395 CLINTON KEITH RD STE B12 WILDOMAR, CA 925957568 US |
| Business Telephone | 9512005532 |
| Code | Practice | License No State |
|---|---|---|
| 106S00000X PRIMARY | Behavioral Health & Social Service Providers Behavior Technician Behavior Technician Behavioral Health & Social Service Providers Behavior Technician |