DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: BRE'LL JOHNICAN

MEDICARE: BRE'LL JOHNICAN
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 : 1538001581
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRE'LL JOHNICAN
Provider Business Mailing Address
First Line : 6405 W SHERIDAN AVE APT 106
Second Line :
City : MILWAUKEE
State : WI
Zip : 53218-3142
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6140 W EXECUTIVE DR
Second Line :
City : MEQUON
State : WI
Zip : 53092-4499
Country : US
Telephone Number : 888-754-0398
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2026
Last Update Date : 04/08/2026

Similar Medicare Providers

1255272944 — NIKKI G HILL
Practice Location Address:
6140 W EXECUTIVE DR STE B
MEQUON, WI
53092-4499
Practice Phone: 888-754-0398
Practice Fax:
1720543747 — MISS BRITTANY MARIE ROZEBOOM
Practice Location Address:
6140 W EXECUTIVE DR STE B
MEQUON, WI
53092-4499
Practice Phone: 888-754-0398
Practice Fax:
1659996577 — NICOLLE K OPELT MS., BCBA
Practice Location Address:
6140 W EXECUTIVE DR STE B
MEQUON, WI
53092-4499
Practice Phone: 888-754-0398
Practice Fax:
1538768494 — SADIE MCKAY SPAHN I BCBA
Practice Location Address:
6140 W EXECUTIVE DR STE B
MEQUON, WI
53092-4499
Practice Phone: 888-754-0398
Practice Fax: 954-982-6491
1124743653 — LAURA CAMPBELL
Practice Location Address:
6140 W EXECUTIVE DR
MEQUON, WI
53092-4499
Practice Phone: 888-754-0398
Practice Fax:
1790491918 — RYAN LANDVATTER
Practice Location Address:
6140 W EXECUTIVE DR STE B
MEQUON, WI
53092-4499
Practice Phone: 262-388-7151
Practice Fax:

Directions to “ BRE'LL JOHNICAN ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.