Individual
BRENNA LAYNE DANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6102 82ND ST STE 10, LUBBOCK, TX 79424-0802
(806) 993-3333
Mailing address
6102 82ND ST STE 10, LUBBOCK, TX 79424-0802
(806) 993-3333
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-332479
TX
Other
Enumeration date
07/17/2024
Last updated
07/17/2024
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