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Organization
QUALIFE, LLC
Active
Organization
QUALIFE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
K SOPHIA MANDILAS M.ED., BCBA (OWNER)
(716) 982-9096
Entity
Organization
Contact information
Practice address
15225 SWEET CADDIES DR, PFLUGERVILLE, TX 78660-3208
(716) 982-9096
Mailing address
15225 SWEET CADDIES DR, PFLUGERVILLE, TX 78660-3208
(716) 982-9096
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
11622756
—
Other
Enumeration date
02/09/2018
Last updated
02/09/2018
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