# INSPIRED CHILD ABA LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417687021
- **Authorized official:** BRANDI FONVILLE (OWNER)
- **Authorized official phone:** (940) 595-0066

## Contact information

- **Practice address:** 509 OAKRIDGE DR, CORSICANA, TX 75110-1125
- **Practice address phone:** (940) 595-0066
- **Mailing address:** 509 OAKRIDGE DR, CORSICANA, TX 75110-1125
- **Mailing address phone:** (940) 595-0066

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103K00000X | Behavior Analyst | — | NULL | Yes |
| 103K00000X | Behavior Analyst | — | — | Yes |

## Other

- **Enumeration date:** 06/15/2022
- **Last updated:** 06/15/2022
