Breinne Mudrack, RBT

Behavior Technician · Suwanee, GA

Individual Active NPI

NPI number 1124784491

Practice location

4000 Smithtown Rd Ste 200
Suwanee, GA 30024-6560
Phone
(470) 632-4990
Fax
(317) 520-8200

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NPI record

NPI
1124784491
Entity type
Individual (Type 1)
Enumeration date
November 11, 2021
Last updated
November 11, 2021
Certified
November 11, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Technician Primary 106S00000X RBT-21-192298 GA

Mailing address

3500 Depauw Blvd Ste 3070
Indianapolis, IN 46268-6135
Phone
(855) 324-0885
Fax
(317) 520-8200

About Breinne Mudrack

Breinne Mudrack, RBT is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Technician (code 106S00000X). The practice location is 4000 Smithtown Rd Ste 200, Suwanee, GA 30024-6560. The NPI number 1124784491 was assigned on November 11, 2021 and the record was last updated on November 11, 2021.

Breinne Mudrack lists a license in the registry: #RBT-21-192298 (GA) 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 Breinne Mudrack, RBT?

The NPI number is 1124784491.

What is the phone number of Breinne Mudrack?

The phone number listed for the practice location is (470) 632-4990.

Where is Breinne Mudrack located?

4000 Smithtown Rd Ste 200, Suwanee, GA 30024-6560.

What is the taxonomy code for Breinne Mudrack?

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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