Individual
BAILEY GARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19241 DAVID MEMORIAL DR STE 170A, SHENANDOAH, TX 77385-8786
(281) 290-4411
Mailing address
19241 DAVID MEMORIAL DR STE 170A, SHENANDOAH, TX 77385-8786
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-222906
TX
Other
Enumeration date
07/22/2022
Last updated
07/22/2022
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