Sophia Grace Brodrecht, HIGHSCHOOL DIPLOMA

NPI #1134974082 in Flower Mound, Texas

Provider Information

NPI Number: 1134974082
Entity Type: Individual
Name: Sophia Grace Brodrecht, HIGHSCHOOL DIPLOMA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Credential: HIGHSCHOOL DIPLOMA
Enumeration Date: Apr 23, 2024
Last Updated: Apr 23, 2024

Practice Location

Address: 4491 LONG PRAIRIE RD STE 300
City: Flower Mound
State: Texas
ZIP Code: 75028-2012
Phone: (469) 687-9184

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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