Individual
JASMINE HARRELL-BROUSSARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
12110 HUFFMEISTER RD, CYPRESS, TX 77429
(281) 894-1423
Mailing address
12101 GRANT FOREST DRIVE, CYPRESS, TX 77429
(281) 223-5200
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
3419
TX
106S00000X
Behavior Technician
—
—
Other
Enumeration date
03/15/2019
Last updated
06/10/2020
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