MEDICARE: SARA BRANTLEY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst	3270	TX

General Provider Information

NPI Number	:	1265367882
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARA BRANTLEY

Provider Business Mailing Address
First Line	:	1715 COUNTRY CREST LN
Second Line	:
City	:	MANSFIELD
State	:	TX
Zip	:	76063-5965
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	240 N RUFE SNOW DR
Second Line	:
City	:	KELLER
State	:	TX
Zip	:	76248-4226
Country	:	US
Telephone Number	:	817-993-5500
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/15/2026
Last Update Date	:	06/15/2026

Similar Medicare Providers

1437112133 — DR. ALICIA R. LEFFEL M.D.
Practice Location Address:

230 N RUFE SNOW DR
KELLER, TX
76248-4226

Practice Phone: 817-337-5503
Practice Fax: 817-337-0110

1376507673 — DR. OMAR A. GOMEZ M.D.
Practice Location Address:

230 N RUFE SNOW DR
KELLER, TX
76248-4226

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Practice Fax: 817-337-0110

1891759023 — DR. TIMOTHY J. FRICKER M.D.
Practice Location Address:

230 N RUFE SNOW DR
KELLER, TX
76248-4226

Practice Phone: 817-337-5503
Practice Fax: 817-337-0110

1588628713 — DR. KRISTIN L. KOSANKE M.D.
Practice Location Address:

230 N RUFE SNOW DR
KELLER, TX
76248-4226

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1861408205 — KEVIN J. KALLAL M.D.
Practice Location Address:

240 N RUFE SNOW DR
KELLER, TX
76248-4226

Practice Phone: 817-431-0606
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1548277213 — VICKIE ANNETTE BEAVERS LPC, LMFT
Practice Location Address:

200 N RUFE SNOW DR , SUITE 102
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Practice Phone: 817-485-8321
Practice Fax:

Directions to “ SARA BRANTLEY ” Practice Location

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