Individual
BROCK ALDREDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1217 RIVER BEND DR, TYLER, TX 75703-3488
(903) 262-0626
Mailing address
400 E ROYAL LN BLDG 3, IRVING, TX 75039-3540
(903) 262-0626
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/30/2024
Last updated
10/30/2024
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