Individual
ASHLEY PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT-22-246789
Contact information
Practice address
501 BRAWNER PKWY, CORPUS CHRISTI, TX 78411-2351
(361) 331-3743
Mailing address
PO BOX 71123, CORPUS CHRISTI, TX 78467-1123
(361) 331-3743
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-246789
TX
Other
Enumeration date
01/20/2026
Last updated
01/20/2026
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