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1104518174
BREANNA JOHNSON
NEWBURGH, IN
NPI
1104518174
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: IN RBT-23-255705)
Enumeration Date
2023-05-25
Last Update Date
2023-05-25
Business Address
BREANNA JOHNSON
4655 ROSEBUD LN
NEWBURGH, IN 47630-9366
Phone number: 812-213-8031
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Mailing Address
BREANNA JOHNSON
3500 DEPAUW BLVD STE 3070
INDIANAPOLIS, IN 46268-6135
Phone number:
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