Provider Demographics
NPI:1215722731
Name:MCKINLEY, BREYLIN
Entity type:Individual
Prefix:
First Name:BREYLIN
Middle Name:
Last Name:MCKINLEY
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8354 E NORTHFIELD BLVD STE 3700
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80238-3131
Mailing Address - Country:US
Mailing Address - Phone:480-757-8090
Mailing Address - Fax:
Practice Address - Street 1:881 W CLEAR RIVER ST
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85704-2453
Practice Address - Country:US
Practice Address - Phone:412-815-7375
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-14
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician