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Organization
PINE CONE THERAPIES LLC
Active
Organization
PINE CONE THERAPIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BOBBYE R RECORDS BCBA (OWNER)
(817) 442-9022
Entity
Organization
Contact information
Practice address
2104 GREENBRIAR DR, SOUTHLAKE, TX 76092-8355
(817) 442-9022
Mailing address
2104 GREENBRIAR DR, SOUTHLAKE, TX 76092-8355
(817) 442-9022
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-10-7860
TX
Other
Enumeration date
06/09/2009
Last updated
03/17/2018
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