Most Relevant Information
Provider Data
| NPI Number: | 1003553116 |
| Provider Name: | BREA PATTERSON |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/19/2022 |
| Last Updated: | 05/19/2022 |
Provider Practice Location
4312 LYNNANN DR
LAS VEGAS
NV
891101251
Practice Location Phone/Fax
| Phone: | 6263944554 |
| Fax: |
Provider Mailing Location
4312 LYNNANN DR
LAS VEGAS
NV
891101251
Provider Mailing Phone/Fax
| Phone: | 6263944554 |
| Fax: |