Kelsea Brantley
Behavior Technician in College Station, TX. Individual provider (NPI-1).
NPI number1801413232
StatusActive
Last updated in NPPESJul 1, 2020
Details
- NPI
- 1801413232
- Entity type
- Individual (NPI-1)
- Name
- Kelsea Brantley
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 1, 2020
- Certification date
- Jul 1, 2020
- Last updated
- Jul 1, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
700 University Dr E Ste 106College Station, TX 77840-1848
Phone 979-985-9503
Mailing address
9314 Ryder DrSan Antonio, TX 78254-2000
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