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Organization
A-MAZE AUTISM AND BEHAVIOR SUPPORT LLC
Active
Organization
A-MAZE AUTISM AND BEHAVIOR SUPPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELIZABETH HOUCK M.ED. BCBA (OWNER)
(469) 585-8184
Entity
Organization
Contact information
Practice address
1935 MAXWELL DR, LEWISVILLE, TX 75077-7577
(469) 585-8184
Mailing address
1935 MAXWELL DR, LEWISVILLE, TX 75077-7577
(469) 585-8184
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-09-6597
—
251S00000X
Community/Behavioral Health Agency
1-09-6597
—
253Z00000X
In Home Supportive Care Agency
1-09-6597
—
Other
Enumeration date
01/30/2014
Last updated
01/30/2014
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