Healthcare Provider Details

I. General information

NPI: 1285554998
Provider Name (Legal Business Name): BREA JAMES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

710 N PRESTON RD
PROSPER TX
75078-9826
US

IV. Provider business mailing address

4255 COTTON GIN RD UNIT 205
FRISCO TX
75034-1292
US

V. Phone/Fax

Practice location:
  • Phone: 945-277-1048
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT26517092
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: