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Organization
BRAINWORKS & BE PRODUCTIONS
Active
Organization
BRAINWORKS & BE PRODUCTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BRENDA ANN JOHNSTON BCN (NEUROFEEDBACK THERAPIST & FITNESS)
(575) 405-4142
Entity
Organization
Contact information
Practice address
3806 YELLOWSTONE DR, LAS CRUCES, NM 88011-9064
(575) 405-4142
Mailing address
3806 YELLOWSTONE DR, LAS CRUCES, NM 88011-9064
(575) 405-4142
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
—
—
225500000X
Respiratory/Developmental/Rehabilitative Specialist/Technologist
Primary
—
—
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
—
—
2472E0500X
EEG Technician
—
—
Other
Enumeration date
05/12/2016
Last updated
05/12/2016
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