CASEY BRUNSON
Individual Provider (NPI-1)
Active
Behavior Analyst
Provider Information
- NPI Number
1912752130- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1675 REPUBLIC PKWY STE 104, MESQUITE, TX, 751506902
- Phone
- (214) 817-2457
Specialties & Taxonomies
Behavior Analyst
Primary #1-24-72619
All Addresses
MAILING
9218 COUNTY ROAD 2472
ROYSE CITY, TX, 751897823