Renee Lynn Brake

Behavior Technician · Nixa, MO

Individual Active NPI

NPI number 1104584457

Practice location

116 W Sherman Way Ste 1
Nixa, MO 65714-9022
Phone
(417) 298-0984

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NPI record

NPI
1104584457
Entity type
Individual (Type 1)
Enumeration date
December 3, 2021
Last updated
December 3, 2021
Certified
December 3, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Technician Primary 106S00000X RBT-21-193688 MO

About Renee Brake

Renee Lynn Brake is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Technician (code 106S00000X). The practice location is 116 W Sherman Way Ste 1, Nixa, MO 65714-9022. The NPI number 1104584457 was assigned on December 3, 2021 and the record was last updated on December 3, 2021.

Renee Brake lists a license in the registry: #RBT-21-193688 (MO) for Behavior Technician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Renee Lynn Brake?

The NPI number is 1104584457.

What is the phone number of Renee Brake?

The phone number listed for the practice location is (417) 298-0984.

Where is Renee Brake located?

116 W Sherman Way Ste 1, Nixa, MO 65714-9022.

What is the taxonomy code for Renee Brake?

The primary taxonomy code is 106S00000X – Behavior Technician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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