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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801435151 | NPPES |
| Other | 1-19-40348 | BACB |
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