Individual
BRE MICHELLE VANDER WOUDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15140 BADGER RANCH BLVD, WOODWAY, TX 76712-8983
(254) 545-2674
Mailing address
3700 ETHEL AVE, WACO, TX 76707-1632
(254) 715-1187
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/21/2024
Last updated
12/21/2024
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