Individual
BONNI BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1410 14TH ST, PLANO, TX 75074-6302
(214) 650-6708
Mailing address
1410 14TH ST, PLANO, TX 75074-6302
(214) 650-6708
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-17-31319
TX
Other
Enumeration date
03/31/2017
Last updated
03/31/2017
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