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Organization
WHITE BRIDLE LEARNING AND THERAPY
Active
Organization
WHITE BRIDLE LEARNING AND THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BROOK BULLEN (OWNER)
(940) 740-0900
Entity
Organization
Contact information
Practice address
660 KELLER SMITHFIELD RD, KELLER, TX 76248-4228
(972) 740-0900
(817) 665-9197
Mailing address
615 THOMPSON ST, IRVING, TX 75061-7218
(972) 740-0900
(817) 665-9197
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1084003
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1336564558
TYPE 1 NPI
TX
Enumeration date
03/24/2015
Last updated
03/25/2015
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