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Organization
THRIVE ADVANCED CARE LLC
Active
Organization
THRIVE ADVANCED CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CORTNEY C SIMO FOSSOUO M.A., BCBA (BOARD CERTIFIED BEHAVIOR ANAYLST)
(214) 454-2447
Entity
Organization
Contact information
Practice address
406 KAMBER LN, WYLIE, TX 75098-4539
(214) 454-2447
Mailing address
406 KAMBER LN, WYLIE, TX 75098-4539
(214) 454-2447
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
2355S0801X
Speech-Language Assistant
—
—
Other
Enumeration date
01/26/2022
Last updated
07/14/2023
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