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Organization
SOUTHLAKE HB ABA SERVICES LLC
Active
Organization
SOUTHLAKE HB ABA SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE RADLEY MEMBER (MEMBER)
(713) 591-2256
Entity
Organization
Contact information
Practice address
940 S KIMBALL AVE STE 175, SOUTHLAKE, TX 76092-9024
(210) 680-5033
Mailing address
940 S KIMBALL AVE STE 175, SOUTHLAKE, TX 76092-9024
(210) 680-5033
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/08/2020
Last updated
10/08/2020
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