Individual
AJA TENSHIA BRUNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4003 W STAN SCHLUETER LOOP STE 3, KILLEEN, TX 76549-6120
(254) 630-1578
Mailing address
4003 W STAN SCHLUETER LOOP STE 3, KILLEEN, TX 76549-6120
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/21/2021
Last updated
10/21/2021
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