Cornelius, Breon

Cornelius, Breon is an individual health care provider with primary practice located at 703 Atlanta Rd , Cumming GA 30040-2705. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Cornelius, Breon can be contacted via phone (770) 886-6204.

Contact Information

Primary practice address
703 Atlanta Rd Cumming GA 30040-2705
Phone: (770) 886-6204
Fax: (678) 261-6421
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-19-40348

Profile Details

NPI number 1801435151
LBN Legal business name Cornelius, Breon
Credentials MA, BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2020
Last updated Jan 3rd, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1801435151 NPPES
Other 1-19-40348 BACB

Popular Providers