Chavez, Breanna
Chavez, Breanna is an sole proprietor health care provider with primary practice located at 1302 Country Club Pl , Gallup NM 87301-4949. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Chavez, Breanna can be contacted via phone (505) 290-4723.Contact Information
Primary practice address
1302 Country Club Pl
Gallup NM 87301-4949
Phone: (505) 290-4723
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1609475250 |
|---|---|
| LBN Legal business name | Chavez, Breanna |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 23rd, 2020 |
| Last updated | Oct 23rd, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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