Individual
BRANDI FONVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., BCBA
Contact information
Practice address
4105 W SPRING CREEK PKWY, SUITE 602, PLANO, TX 75024-5283
(972) 596-0035
(972) 596-0030
Mailing address
4105 W SPRING CREEK PKWY, SUITE 602, PLANO, TX 75024-5283
(972) 596-0035
(972) 596-0030
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-15-18322
TX
Other
Enumeration date
03/31/2015
Last updated
03/31/2015
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