Individual
CASEY BRUNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1675 REPUBLIC PKWY STE 104, MESQUITE, TX 75150-6902
(214) 817-2457
Mailing address
9218 COUNTY ROAD 2472, ROYSE CITY, TX 75189-7823
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-72619
—
Other
Enumeration date
04/22/2024
Last updated
04/22/2024
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