Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BREONNA MABRY, BCBA, LBA
ActiveBREONNA MABRY, BCBA, LBA is a Behavior Analyst healthcare provider located in WOODBINE, Maryland. NPI 1912537051 is currently active in the NPPES registry. Verify at CMS.
Behavior Analyst · WOODBINE, MD
Registration Details
- NPI Number
- 1912537051
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 16, 2020 (6.5426224372968 yrs)
- Last Updated
- Feb 17, 2022
- Licenses
-
909 (CT)909 (CT)LBA885 (MD)
Practice Information
- Address
-
3107 CABIN RUNWOODBINE, MD, 217977933Browse MD providers · Browse ZIP 21797
- Phone
- 7608097804
- Primary Specialty
-
Behavior Analyst
103K00000X
- Additional Specialty
- Developmental Therapist
- Additional Specialty
- Behavior Analyst
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.