Individual
BRENNER GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
700 N SAINT MARYS ST STE 1400, SAN ANTONIO, TX 78205-3535
(860) 617-6809
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
4724
TX
Other
Enumeration date
01/19/2022
Last updated
01/19/2022
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