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Individual

BREANNA EVONNE DANIELS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1801 ROYAL LANE, SUITE 300 FARMERS BRANCH, TX 75229, DALLAS, TX 75229
(888) 754-0398
Mailing address
3225 N GRAPEVINE MILLS BLVD, APT 1207, GRAPEVINE, TX 76051
(832) 331-2548

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
07/24/2025
Last updated
07/24/2025
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