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Organization
NORTH TEXAS DIAGNOSTIC INTERVENTION BEHAVIORAL CLINIC
Active
Organization
NORTH TEXAS DIAGNOSTIC INTERVENTION BEHAVIORAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEL SAMANTHA BERTELSON BCBA, LBA, LPA-I PHD (SUPERVISING BCBA, LPA-I)
(940) 386-2100
Entity
Organization
Contact information
Practice address
3501 SHEPPARD ACCESS RD, WICHITA FALLS, TX 76306-4235
(940) 447-7115
Mailing address
3501 SHEPPARD ACCESS RD, WICHITA FALLS, TX 76306-4235
(940) 867-7929
(940) 386-2100
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
05/22/2019
Last updated
04/26/2021
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