Individual
ANDREA R SUTTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1260 WEATHERFORD HWY BLDG B, GRANBURY, TX 76048-4822
(682) 333-1555
(817) 717-2378
Mailing address
1260 WEATHERFORD HWY BLDG B, GRANBURY, TX 76048-4822
(682) 333-1555
(817) 717-2378
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-392832
TX
Other
Enumeration date
11/14/2024
Last updated
11/14/2024
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