Breanna Chavez

NPI #1609475250 in Gallup, New Mexico

Provider Information

NPI Number: 1609475250
Entity Type: Individual
Name: Breanna Chavez
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Oct 23, 2020
Last Updated: Oct 23, 2020

Practice Location

Address: 1302 COUNTRY CLUB PL
City: Gallup
State: New Mexico
ZIP Code: 87301-4949
Phone: (505) 290-4723

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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