Provider Demographics
NPI:1902448319
Name:BRENNAN, AUBREY K (RBT)
Entity Type:Individual
Prefix:
First Name:AUBREY
Middle Name:K
Last Name:BRENNAN
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4775 NORTH FWY
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76106-2315
Mailing Address - Country:US
Mailing Address - Phone:817-740-8700
Mailing Address - Fax:817-740-8671
Practice Address - Street 1:4775 NORTH FWY
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76106-2315
Practice Address - Country:US
Practice Address - Phone:817-740-8700
Practice Address - Fax:817-740-8671
Is Sole Proprietor?:No
Enumeration Date:2019-10-17
Last Update Date:2019-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician