Individual
MARI-BREANNA LOWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
816 KELLER PKWY STE B302, KELLER, TX 76248-2479
(817) 562-8731
(817) 562-8222
Mailing address
816 KELLER PKWY STE B302, KELLER, TX 76248-2479
(817) 562-8731
(817) 562-8222
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
4190
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-21-49354
BACB CERTIFICATION NUMBER
—
01
—
4190
STATE LICENSE
TX
Enumeration date
06/22/2021
Last updated
05/20/2022
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