Individual
BRANDI MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3922 WISEMAN BLVD, SAN ANTONIO, TX 78251-1668
(210) 910-0572
Mailing address
12105 STATE HIGHWAY 151 APT 11205, SAN ANTONIO, TX 78251-4580
(210) 273-5217
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/19/2023
Last updated
05/19/2023
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