Breonna Kopac, is a
Behavior Analyst based in Freedom, Pennsylvania. Breonna Kopac is licensed to practice in Pennsylvania (license number BH005775) and her current practice location is
1300 5th Ave, Freedom, Pennsylvania. She can be reached at her office (for appointments etc.) via phone at
(724) 630-4073.
NPI number for Breonna Kopac is 1225587991 and her current mailing address is 1300 5th Ave, Freedom, Pennsylvania. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1225587991.
Healthcare Provider's Profile
| Full Name | Breonna Kopac |
|---|
| Gender | Female |
|---|
| Speciality | Behavior Analyst |
|---|
| Location | 1300 5th Ave, Freedom, Pennsylvania |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1225587991
- Provider Enumeration Date: 09/23/2016
- Last Update Date: 03/25/2022
Medical Identifiers
Medical identifiers for Breonna Kopac such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1225587991 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | (NU) | Secondary |
| 103K00000X | Behavior Analyst | RBT-16-22692 (California) | Secondary |
| 103K00000X | Behavior Analyst | (NU) | Secondary |
| 103K00000X | Behavior Analyst | BH005775 (Pennsylvania) | Primary |
| 106S00000X | Behavior Technician | (NU) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Breonna Kopac is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Breonna Kopac, 1300 5th Ave, Freedom, PA 15042-1808 Ph: Not Available | Breonna Kopac, 1300 5th Ave, Freedom, PA 15042 Ph: (724) 630-4073 |
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