Individual
MR. BRIAN EASON VICKERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS, BT
Contact information
Practice address
2150 LELARAY ST, COLORADO SPRINGS, CO 80909-2808
(719) 266-1000
Mailing address
7500 SAN FELIPE ST STE 990, HOUSTON, TX 77063-1708
(866) 610-0580
(866) 611-1558
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/26/2024
Last updated
08/26/2024
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