Most Relevant Information
Provider Data
| NPI Number: | 1003599366 |
| Provider Name: | BREEANN BOYLE |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/11/2023 |
| Last Updated: | 08/11/2023 |
Provider Practice Location
45 ROUTE 11
SHAMOKIN DAM
PA
17876
Practice Location Phone/Fax
| Phone: | 8887264774 |
| Fax: |
Provider Mailing Location
9 BANKS AVE
MCADOO
PA
182372508
Provider Mailing Phone/Fax
| Phone: | 8887264774 |
| Fax: |