Individual
BRAYDEN DANIEL YANCY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
1001 W SW LOOP 323, TYLER, TX 75701-9416
(430) 205-8710
Mailing address
3505 BIRDWELL DR, TYLER, TX 75701-8210
(903) 508-8703
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB1051914
TX
Other
Enumeration date
01/23/2024
Last updated
01/23/2024
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