Courtney Breitwisch

NPI #1205548112 in Muskegon, Michigan

Provider Information

NPI Number: 1205548112
Entity Type: Individual
Name: Courtney Breitwisch
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Dec 22, 2022
Last Updated: Dec 22, 2022

Practice Location

Address: 1145 WESLEY AVE
City: Muskegon
State: Michigan
ZIP Code: 49442-2100
Phone: (616) 726-0394

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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