Healthcare Provider Details

I. General information

NPI: 1699606012
Provider Name (Legal Business Name): EVELYN MICHEL BRAMBILA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/26/2026
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8416 SPRINGFIELD AVE APT 8
LAREDO TX
78045-2442
US

IV. Provider business mailing address

8416 SPRINGFIELD AVE APT 8
LAREDO TX
78045-2442
US

V. Phone/Fax

Practice location:
  • Phone: 956-652-0606
  • Fax:
Mailing address:
  • Phone: 956-652-0606
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number10247
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: