Breana Moultry

NPI #1487491825 in Montgomery, Alabama

Provider Information

NPI Number: 1487491825
Entity Type: Individual
Name: Breana Moultry
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jul 12, 2024
Last Updated: Jul 12, 2024

Practice Location

Address: 3580 MCGEHEE PLACE DR S APT 3404
City: Montgomery
State: Alabama
ZIP Code: 36111-3352
Phone: (205) 746-4472

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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