BREANNA LOGAN CLUBB
NPI 1104547702
Behavior Technician in Mascoutah, IL
About Breanna Logan Clubb NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BREANNA LOGAN CLUBB (NPI 1104547702) is an individual behavior technician in Mascoutah, Illinois and active in the NPI registry since September 2022.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Breanna Clubb's NPI number?
The NPI number for Breanna Clubb is 1104547702. It was assigned to this individual provider in the NPPES registry on September 12, 2022.
Where is Breanna Clubb located?
Breanna Clubb practices at 522 E Main St, Mascoutah, IL 62258. The listed phone number is (618) 566-0313.
What is Breanna Clubb's specialty?
The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.
When was this NPI record last updated?
The NPPES record for Breanna Clubb was last updated on September 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.