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Contact Information

BREONNA KOPAC
1300 5TH AVE
FREEDOM, PA15042
 Phone: 724-630-4073
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Behavior Analyst

103K00000X
 

Behavior Technician

106S00000X
 

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for BREONNA KOPAC · (Female)

NPI Number 1225587991
Status Active
Credentials
Entity Individual
Enumeration date 09/23/2016
Last updated 03/25/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • CA License # RBT-16-22692
  • PA License # BH005775
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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