Breanna Raquel Livingston

NPI #1942057633 in Windsor Mill, Maryland

Provider Information

NPI Number: 1942057633
Entity Type: Individual
Name: Breanna Raquel Livingston
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: May 1, 2024
Last Updated: May 1, 2024

Practice Location

Address: 7001 JOHNNYCAKE RD STE 106
City: Windsor Mill
State: Maryland
ZIP Code: 21244-2419
Phone: (984) 041-0774

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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