Individual
BROOKE BANKSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
7115 QUAIL LNDG, SAN ANTONIO, TX 78250-6222
(915) 227-5554
Mailing address
7115 QUAIL LNDG, SAN ANTONIO, TX 78250-6222
(915) 227-5554
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-32208
TX
Other
Enumeration date
09/27/2018
Last updated
09/27/2018
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