Moultry, Breana

Moultry, Breana is an individual health care provider with primary practice located at 3580 Mcgehee Place Dr S Apt 3404 , Montgomery AL 36111-3352. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Moultry, Breana can be contacted via phone (205) 746-4472.

Contact Information

Primary practice address
3580 Mcgehee Place Dr S Apt 3404 Montgomery AL 36111-3352
Phone: (205) 746-4472
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X 9417821 Alabama

Profile Details

NPI number 1487491825
LBN Legal business name Moultry, Breana
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2024
Last updated Jul 12th, 2024 - about 2 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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