MEDICARE: CANDACE DODD/BRIGGS BCBA

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

General Provider Information

NPI Number	:	1659227924
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CANDACE DODD/BRIGGS BCBA

Provider Business Mailing Address
First Line	:	1770 LEESWAY RD
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77406-9703
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	11135 HARLEM RD STE 250
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77406-3644
Country	:	US
Telephone Number	:	855-782-7822
Fax Number	:

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

Provider Enumeration Date	:	03/09/2026
Last Update Date	:	03/09/2026

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