Individual
MRS. AUDREY ROSE DIMICELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
475 OXFORD DR STE 104, NEW BRAUNFELS, TX 78130-7421
(855) 782-7822
Mailing address
475 OXFORD DR STE 104, NEW BRAUNFELS, TX 78130-7421
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
RBT-23-289198
TX
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/02/2023
Last updated
11/16/2023
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