Individual
BETZABET BRAVO CARMONA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2205 WILLIAMS TRACE BLVD, SUGAR LAND, TX 77478-4514
(281) 865-3063
Mailing address
2205 WILLIAMS TRACE BLVD, SUGAR LAND, TX 77478-4514
(281) 865-3063
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB67446
TX
Other
Enumeration date
06/08/2021
Last updated
06/08/2021
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