Individual
MR. BRANDT KEPHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1820 SUNSET DR, SAN ANGELO, TX 76904-6823
(325) 261-5749
Mailing address
1624 SUNSET DR APT 403, SAN ANGELO, TX 76904-7166
(719) 859-0877
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/10/2025
Last updated
01/10/2025
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