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Individual

BRADY SCOTT ISMOND

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
7160 PRESTON RD STE 200, PLANO, TX 75024-3283
(972) 769-5938
Mailing address
7160 PRESTON RD STE 200, PLANO, TX 75024-3283

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-165741
TX

Other

Enumeration date
05/03/2021
Last updated
05/03/2021
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