Most Relevant Information
Provider Data
| NPI Number: | 1003432824 |
| Provider Name: | BREA BUTCHEE |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/17/2020 |
| Last Updated: | 06/17/2020 |
Provider Practice Location
202 HOWARD ST STE 3
AUBURNDALE
FL
338233431
Practice Location Phone/Fax
| Phone: | 8635513300 |
| Fax: |
Provider Mailing Location
136 AVENUE C NE
WINTER HAVEN
FL
338814571
Provider Mailing Phone/Fax
| Phone: | 3526345569 |
| Fax: |