Individual
BROOKE STAFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
1410 14TH ST, PLANO, TX 75074-6302
(214) 650-6708
(605) 271-3956
Mailing address
2804 E 26TH ST STE 1, SIOUX FALLS, SD 57103-4019
(605) 271-2690
(605) 271-3956
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-117768
TX
Other
Enumeration date
06/08/2020
Last updated
06/08/2020
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