Breck Alise Tanner
Breck Alise Tanner is a Behavior Technician in Saint Petersburg, Florida. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
425 44th Ave NESaint Petersburg, FL 33703-5021
Phone: (727) 366-4445
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1508591173 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | July 19, 2022 |
| Last updated in NPPES | July 19, 2022 |
| Certification date | July 19, 2022 |
| Mailing address | 425 44th Ave Ne, Saint Petersburg, FL 33703-5021 |
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