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Organization
MAGNOLIA INSTRUCTIONAL CENTER
Active
Organization
MAGNOLIA INSTRUCTIONAL CENTER
Active
Other names
The Magnolia School
Organization subpart
No
Provider details
NPI number
Authorized official
MEGHAN DAWN HOUSEMAN M.ED., BCBA (DIRECTOR)
(281) 731-6325
Entity
Organization
Contact information
Practice address
2903 RR 620 N BLDG B, AUSTIN, TX 78734
(512) 266-9620
(512) 284-8122
Mailing address
2903 RR 620 N BLDG B, AUSTIN, TX 78734-2208
(512) 266-9620
(512) 284-8122
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
06/26/2012
Last updated
06/28/2018
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