| Brain Behavior Consultants | |
|
2301 Ohio Dr Ste. 130 Plano TX 75093-3927 | |
| (214) 498-9392 | |
| (972) 596-0238 |
| Full Name | Brain Behavior Consultants |
|---|---|
| Speciality | Clinic/Center |
| Location | 2301 Ohio Dr, Plano, Texas |
| Authorized Official Name and Position | Gary B Rochelle (CLINICAL NEUROPSYCHOLOGIST) |
| Authorized Official Contact | 2144989392 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brain Behavior Consultants 2220 Coit Rd Ste 480 Pmb 304 Plano TX 75075-3762 Ph: (214) 498-9392 | Brain Behavior Consultants 2301 Ohio Dr Ste. 130 Plano TX 75093-3927 Ph: (214) 498-9392 |
| NPI Number | 1760857577 |
|---|---|
| Provider Enumeration Date | 12/04/2015 |
| Last Update Date | 12/07/2016 |
| Medicare PECOS PAC ID | 7315245180 |
|---|---|
| Medicare Enrollment ID | O20160411002071 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760857577 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 15435 (Texas) | Primary |
| Provider Name | Gary B Rochelle |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1932162898 PECOS PAC ID: 3173667680 Enrollment ID: I20100222000914 |
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