Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106E00000X | Assistant Behavior Analyst | 4168 | TX |
N | 106S00000X | Behavior Technician |
NPI | 1073084836 |
---|---|
Provider Name | Brenda Meraz |
First Address | El Paso, TX 79902-4659 |
Second Address | El Paso, TX 79902-4659 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/12/2018 |
Last Update Date | 18/10/2021 |