Individual
BREANNA NYCOLE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21755 I45 N BLDG 8, SPRING, TX 77388-3621
(210) 447-0039
Mailing address
6222 W I 10, SUITE 104, SAN ANTONIO, TX 78201
(210) 447-0039
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
TX
Other
Enumeration date
10/06/2025
Last updated
10/06/2025
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