Breanna Rochelle Van-Kellogg

NPI #1023773629 in Irvine, California

Provider Information

NPI Number: 1023773629
Entity Type: Individual
Name: Breanna Rochelle Van-Kellogg
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Nov 8, 2021
Last Updated: Nov 8, 2021

Practice Location

Address: 1063 MCGAW AVE STE 100
City: Irvine
State: California
ZIP Code: 92614-5554
Phone: (714) 834-1111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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