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Organization
WHITEROCK AUTISM THERAPY CENTER LLC
Active
Organization
WHITEROCK AUTISM THERAPY CENTER LLC
Active
Other names
Marigold ABA of Dallas
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA MEJIA (OFFICE MANAGER)
(972) 722-3892
Entity
Organization
Contact information
Practice address
1151 N BUCKNER BLVD STE 301, DALLAS, TX 75218-3405
(972) 722-3892
(214) 602-2729
Mailing address
401 W WASHINGTON ST, ROCKWALL, TX 75087-3615
(972) 722-3892
(214) 602-2729
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
2080P0008X
Pediatric Neurodevelopmental Disabilities Physician
—
—
225X00000X
Occupational Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
06/15/2023
Last updated
06/15/2023
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