Individual
NATALIE ALLEENE BROD EVINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
115 N DIXIE DR STE 320, LAKE JACKSON, TX 77566-5958
(979) 292-8320
Mailing address
112 MANOR PL, LAKE JACKSON, TX 77566-4910
(713) 855-8993
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
5436
TX
Other
Enumeration date
10/25/2022
Last updated
10/25/2022
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