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NPI Code Detail

MEDICARE: BRENNA O'CONNOR

MEDICARE: BRENNA O'CONNOR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1063338747
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRENNA O'CONNOR
Provider Business Mailing Address
First Line : 2414 CLYDESDALE RD
Second Line :
City : FINKSBURG
State : MD
Zip : 21048-1614
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7 GWYNNS MILL CT STE I
Second Line :
City : OWINGS MILLS
State : MD
Zip : 21117-3528
Country : US
Telephone Number : 410-449-7021
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/26/2026
Last Update Date : 06/26/2026

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Directions to “ BRENNA O'CONNOR ” Practice Location

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