Individual
BRANDY ANN FIRKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M. ED
Contact information
Practice address
7607 FERN AVE STE 403, SHREVEPORT, LA 71105-5699
(318) 238-8184
Mailing address
21600 OXNARD ST, WOODLAND HILLS, CA 91367-4976
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BCAP-BC0010921
—
Other
Enumeration date
01/09/2020
Last updated
01/09/2020
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