Individual
EVA LYNN JIANG FANG BRAZELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7851 S ELATI ST STE 103, LITTLETON, CO 80120-8081
(720) 776-4099
Mailing address
5850 GRANITE PKWY STE 600, PLANO, TX 75024-6753
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
17-077-3257
CO
Other
Enumeration date
08/31/2023
Last updated
08/31/2023
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