Tacey, Breanna Leigh

Tacey, Breanna Leigh is an individual health care provider with primary practice located at 900 Center Ave , Bay City MI 48708-6189. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Tacey, Breanna Leigh can be contacted via phone (989) 778-0127.

Contact Information

Primary practice address
900 Center Ave Bay City MI 48708-6189
Phone: (989) 778-0127
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X Michigan
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 7401001084 Michigan

Profile Details

NPI number 1629614169
LBN Legal business name Tacey, Breanna Leigh
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 19th, 2019
Last updated May 23rd, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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