Individual
BRIANA BENAVIDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11718 METRIC BLVD BLDG A, AUSTIN, TX 78758-3203
(512) 265-3615
(512) 572-8607
Mailing address
7500 SAN FELIPE ST STE 990, HOUSTON, TX 77063-1708
(512) 265-3615
(512) 572-8607
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
20-137873
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20-137873
BACB
TX
Enumeration date
09/29/2020
Last updated
09/29/2020
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