Provider Demographics
NPI:1245931799
Name:ABEL, BRANDY S (BSW, RBT)
Entity type:Individual
Prefix:
First Name:BRANDY
Middle Name:S
Last Name:ABEL
Suffix:
Gender:F
Credentials:BSW, RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1771 WIGGINS RD
Mailing Address - Street 2:
Mailing Address - City:WEST
Mailing Address - State:TX
Mailing Address - Zip Code:76691-1924
Mailing Address - Country:US
Mailing Address - Phone:254-855-3918
Mailing Address - Fax:
Practice Address - Street 1:1771 WIGGINS RD
Practice Address - Street 2:
Practice Address - City:WEST
Practice Address - State:TX
Practice Address - Zip Code:76691-1924
Practice Address - Country:US
Practice Address - Phone:254-855-3918
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-13
Last Update Date:2023-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXRBT-22-231704106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician