MRS. Breanna Suzette Hall Knowles, BCABA

NPI #1134473721 in Washington, Illinois

Provider Information

NPI Number: 1134473721
Entity Type: Individual
Name: MRS. Breanna Suzette Hall Knowles, BCABA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Analyst
Credential: BCABA
Enumeration Date: Nov 4, 2012
Last Updated: Nov 4, 2012

Practice Location

Address: 122 LYNNHAVEN DR
City: Washington
State: Illinois
ZIP Code: 61571-3323
Phone: (719) 688-0218

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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