Individual
JUDITH BRAZZELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
307 SAWDUST RD # F, SPRING, TX 77380-2366
(270) 254-0515
Mailing address
7500 SAN FELIPE ST STE 990, HOUSTON, TX 77063-1708
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2924
TX
106S00000X
Behavior Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-19-36572
BCBA
—
01
—
RBT-18-58170
RBT
—
Enumeration date
07/20/2018
Last updated
04/16/2020
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