MEDICARE: BROOKLYN BALLARD

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	106S00000X	Behavior Technician	RBT-25-467613	TX

General Provider Information

NPI Number	:	1811850746
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BROOKLYN BALLARD

Provider Business Mailing Address
First Line	:	1824 SAWDUST RD
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77380-3667
Country	:	US
Telephone Number	:	832-447-1141
Fax Number	:

Provider Business Practice Location Address
First Line	:	1824 SAWDUST RD
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77380-3667
Country	:	US
Telephone Number	:	832-447-1141
Fax Number	:

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

Provider Enumeration Date	:	12/08/2025
Last Update Date	:	12/08/2025

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Directions to “ BROOKLYN BALLARD ” Practice Location

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