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Organization
SOCIAL KIDS LLC
Active
Organization
SOCIAL KIDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. WENDY PEDEN (EXECUTIVE DIRECTOR)
(817) 821-8893
Entity
Organization
Contact information
Practice address
2120 MISTLETOE BLVD, SUITE 3A, FORT WORTH, TX 76110-1175
(817) 821-8893
Mailing address
2120 MISTLETOE BLVD, SUITE 3A, FORT WORTH, TX 76110-1175
(817) 821-8893
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
03/24/2017
Last updated
03/24/2017
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