Brianne Laurel Gerondale

NPI #1427738368 in Tigard, Oregon

Provider Information

NPI Number: 1427738368
Entity Type: Individual
Name: Brianne Laurel Gerondale
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Jul 24, 2023
Last Updated: Jul 24, 2023

Practice Location

Address: 14999 SW ROYALTY PKWY APT P05
City: Tigard
State: Oregon
ZIP Code: 97224-4058
Phone: (818) 438-2929

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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