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Individual

BRIESHA LASHAY GAINES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2050 ROYAL LN APT 1190, DALLAS, TX 75229-3233
(318) 621-6651
Mailing address
2050 ROYAL LN APT 1190, DALLAS, TX 75229-3233
(318) 621-6651

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-380993
TX

Other

Enumeration date
07/09/2025
Last updated
07/09/2025
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