Individual
NICOLE BROGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
115 W 181 ST TERR, BELTON, MO 60412
(562) 454-6473
Mailing address
4207 GARDENDALE ST STE 104B, SAN ANTONIO, TX 78229-3142
(210) 582-5840
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
2355S0801X
Speech-Language Assistant
42040
TX
Other
Enumeration date
09/07/2021
Last updated
07/10/2025
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