Most Relevant Information
Provider Data
| NPI Number: | 1003592676 |
| Provider Name: | BRIANNE NICHOLE LONG |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/27/2023 |
| Last Updated: | 06/27/2023 |
Provider Practice Location
111 MACKENAN DR
CARY
NC
275117903
Practice Location Phone/Fax
| Phone: | 9193712848 |
| Fax: |
Provider Mailing Location
111 MACKENAN DR
CARY
NC
275117903
Provider Mailing Phone/Fax
| Phone: | 9193712848 |
| Fax: |