Individual
BRAYDEN ANTONIO VENTURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 S BRUNDIDGE ST, TROY, AL 36081-3334
(334) 770-1047
(334) 446-4799
Mailing address
500 S BRUNDIDGE ST, TROY, AL 36081-3334
(334) 770-1047
(334) 446-4799
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
24-361806
AL
Other
Enumeration date
11/04/2024
Last updated
11/04/2024
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