Breann Phaneuf

NPI #1073044665 in Alger, Michigan

Provider Information

NPI Number: 1073044665
Entity Type: Individual
Name: Breann Phaneuf
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Mar 24, 2017
Last Updated: Mar 24, 2017

Practice Location

Address: 1078 NORTHERN TRL
City: Alger
State: Michigan
ZIP Code: 48610-9337
Phone: (989) 942-2961

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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