Individual
MRS. KATHERINE M BROUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED, BCBA
Contact information
Practice address
900 WEST HWY 6, WACO, TX 76643
(903) 312-1315
Mailing address
903 PARKVIEW CIR, HEWITT, TX 76643-3265
(903) 312-1315
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BCBA1107231
BACB
TX
Enumeration date
06/28/2010
Last updated
02/04/2021
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