Individual
BROOKE MARCELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
3229 CASTLEDALE DR, SAN ANTONIO, TX 78230-3901
(210) 685-2266
Mailing address
9059 INDIGO LK, SAN ANTONIO, TX 78245-1673
(715) 313-0940
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-13-13346
TX
Other
Enumeration date
03/04/2013
Last updated
03/04/2013
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