Breanca Christinaunique Ousley

NPI #1518676964 in Eagan, Minnesota

Provider Information

NPI Number: 1518676964
Entity Type: Individual
Name: Breanca Christinaunique Ousley
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Nov 15, 2022
Last Updated: Nov 15, 2022

Practice Location

Address: 4635 NICOLS RD # 104
City: Eagan
State: Minnesota
ZIP Code: 55122-3337
Phone: (651) 900-2210

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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