Individual
MYALISHA BRIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
136 E CONCHO AVE, SAN ANGELO, TX 76903-5947
(325) 777-2727
(325) 777-2737
Mailing address
136 E CONCHO AVE, SAN ANGELO, TX 76903-5947
(325) 777-2727
(325) 777-2737
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
7449
TX
106S00000X
Behavior Technician
RBT-21-171962
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-24-75395
BEHAVIOR ANALYST CERTIFICATION BOARD
TX
Enumeration date
06/09/2021
Last updated
09/11/2024
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