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Contact Information

BREANNA M SANDEFUR, RBT
15290 SW ROYALTY PKWY
TIGARD, OR97224
 Phone: 971-256-4050
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Behavior Analyst

103K00000X
 

Behavior Technician

106S00000X
Indicates primary specialty

NPI Profile & details for BREANNA M SANDEFUR · (Female)

NPI # 1427573146
Status Active
Credentials RBT
Entity Individual
Enumeration date 08/03/2017
Last updated 05/04/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • OR License # 10212643
  • OR License # RBT-19-96158
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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