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Contact Information

BREONNA MABRY, BCBA, LBA
3107 CABIN RUN
WOODBINE, MD21797-7933
 Phone: 760-809-7804
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Behavior Analyst

103K00000X
 

Developmental Therapist

222Q00000X
Indicates primary specialty

NPI Profile & details for BREONNA MABRY · (Female)

NPI # 1912537051
Status Active
Credentials BCBA, LBA
Entity Individual
Enumeration date 01/16/2020
Last updated 02/17/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 909
  • MD License # LBA885
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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