Most Relevant Information
Provider Data
| NPI Number: | 1003491812 |
| Provider Name: | BRENTON JOSEPH WHITE |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/12/2021 |
| Last Updated: | 03/12/2021 |
Provider Practice Location
10 6TH AVE W
HUNTINGTON
WV
257010028
Practice Location Phone/Fax
| Phone: | 3045258014 |
| Fax: |
Provider Mailing Location
836 COUNTY ROAD 119
IRONTON
OH
456388114
Provider Mailing Phone/Fax
| Phone: | 7403025858 |
| Fax: |