Individual
MARY CLAIRE BRACKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5757 W LOVERS LN STE 350, DALLAS, TX 75209-7106
(214) 907-0772
Mailing address
5757 W LOVERS LN STE 350, DALLAS, TX 75209-7106
(214) 907-0772
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
7775
TX
106S00000X
Behavior Technician
RBT-24-324662
—
Other
Enumeration date
04/11/2024
Last updated
02/19/2025
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