Breana C. Weidele

Behavior Technician · Putnam, CT

Individual Active NPI

NPI number 1639784887

Practice location

62 Providence Pike
Putnam, CT 06260-2412
Phone
(818) 421-6780

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NPI record

NPI
1639784887
Entity type
Individual (Type 1)
Enumeration date
September 14, 2020
Last updated
September 14, 2020
Certified
September 14, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Technician Primary 106S00000X — —

Mailing address

1055 E Colorado Blvd Ste 560
Pasadena, CA 91106-2380
Phone
(818) 241-6780
Fax
(818) 241-6853

About Breana Weidele

Breana C. Weidele is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Technician (code 106S00000X). The practice location is 62 Providence Pike, Putnam, CT 06260-2412. The NPI number 1639784887 was assigned on September 14, 2020 and the record was last updated on September 14, 2020.

Frequently asked questions

What is the NPI number of Breana C. Weidele?

The NPI number is 1639784887.

What is the phone number of Breana Weidele?

The phone number listed for the practice location is (818) 421-6780.

Where is Breana Weidele located?

62 Providence Pike, Putnam, CT 06260-2412.

What is the taxonomy code for Breana Weidele?

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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