Provider Demographics
NPI:1184075681
Name:CONTRERAS, BRENDA LILIANA (MED, BCBA)
Entity type:Individual
Prefix:
First Name:BRENDA
Middle Name:LILIANA
Last Name:CONTRERAS
Suffix:
Gender:F
Credentials:MED, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:733 SILVERTHORNE TRL
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND VILLAGE
Mailing Address - State:TX
Mailing Address - Zip Code:75077-3111
Mailing Address - Country:US
Mailing Address - Phone:512-228-8899
Mailing Address - Fax:
Practice Address - Street 1:4301 BURNET RD
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78756-3307
Practice Address - Country:US
Practice Address - Phone:512-524-1374
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-26
Last Update Date:2022-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1-16-22486103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst