Individual
BRANDON THOMASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8701 W 26TH ST, ODESSA, TX 79763-6114
(432) 310-8548
Mailing address
8701 W 26TH ST, ODESSA, TX 79763-6114
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/18/2020
Last updated
11/18/2020
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