Individual
BREANNA MARIE ROSALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
8603 N NEW BRAUNFELS AVE, SAN ANTONIO, TX 78217-6373
(210) 415-9626
Mailing address
4434 GRANTILLY ST, SAN ANTONIO, TX 78217-1331
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-383043
TX
Other
Enumeration date
10/21/2024
Last updated
10/21/2024
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