MEDICARE: RANDI BRANSON

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	:	1902745250
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RANDI BRANSON

Provider Business Mailing Address
First Line	:	2926 MEANDERING ELM TRL
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77045-2236
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8570 SIENNA SPRINGS BLVD
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77459-7124
Country	:	US
Telephone Number	:	346-692-9485
Fax Number	:

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

Provider Enumeration Date	:	03/25/2026
Last Update Date	:	03/25/2026

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Directions to “ RANDI BRANSON ” Practice Location

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