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Individual

BRIANNA MARIE UNDERWOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RBT

Contact information

Practice address
255 W LEBANON STE 212, FRISCO, TX 75036-3404
(469) 850-3992
Mailing address
1212 SUMMER LAKE TRL, CARROLLTON, TX 75007-6217
(940) 367-8456

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-19-102626
TX

Other

Enumeration date
11/18/2019
Last updated
11/18/2019
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