Most Relevant Information
Provider Data
| NPI Number: | 1003576919 |
| Provider Name: | BREANNE GALDAMEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: | RBT-21-197362 |
Most Important Dates
| Enumeration Date: | 12/20/2021 |
| Last Updated: | 12/20/2021 |
Provider Practice Location
2266 S DOBSON RD STE 200
MESA
AZ
852026412
Practice Location Phone/Fax
| Phone: | 4807578090 |
| Fax: |
Provider Mailing Location
2266 S DOBSON RD STE 200
MESA
AZ
852026412
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |