Individual
BRANDISE CONERLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5109 E 5TH ST, KATY, TX 77493-2117
(281) 957-6288
Mailing address
5109 E 5TH ST, KATY, TX 77493-2117
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/05/2023
Last updated
07/05/2023
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